Individual
PHILIP EMERY PIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2650 W BROADWAY, LOUISVILLE, KY 40211-1333
(502) 589-8723
Mailing address
2650 W BROADWAY, LOUISVILLE, KY 40211-1333
(502) 589-8723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1136044
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018429
KY
Other
Enumeration date
11/10/2021
Last updated
04/01/2024
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