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Individual

MICHELLE L. PIXLEY TIPPITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R656577
MS
363L00000X
Nurse Practitioner
ATP000518
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05872856
MS
Enumeration date
06/06/2007
Last updated
03/07/2023
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