Individual
JAY ISAAC TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2823 FRESNO STREET, FRESNO, CA 93721-1365
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
651476
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4367
CA
Other
Enumeration date
01/10/2013
Last updated
05/24/2013
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