| NPI | 1255504908 |
|---|---|
| Former Name | JAMIE TIPPENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024171415) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024171415) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2024-04-22 |