Individual
GREGORY THOMAS TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
302 SUNSET DR STE 105, JOHNSON CITY, TN 37604-2408
(423) 282-1930
(423) 283-0608
Mailing address
302 SUNSET DR STE 103, JOHNSON CITY, TN 37604-2408
(423) 282-1930
(423) 283-0608
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
192570
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23949
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5016913
NC
Other
Enumeration date
02/20/2018
Last updated
01/27/2023
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