Individual
MICHELLE L. PIXLEY TIPPITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
626 POPLAR ST, HELENA, AR 72342-3140
(870) 338-8163
Mailing address
2075 HOPSON PIXLEY RD, CLARKSDALE, MS 38614-9037
(662) 645-0440
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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