Kristina Tipton
Nurse Practitioner in Lincoln, IL. Individual provider (NPI-1).
NPI number1790442002
StatusActive
Last updated in NPPESNov 22, 2021
Details
- NPI
- 1790442002
- Entity type
- Individual (NPI-1)
- Name
- Kristina Tipton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2021
- Certification date
- Nov 22, 2021
- Last updated
- Nov 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209023611 | IL | Yes |
Practice location
1096 1350th StLincoln, IL 62656-5094
Phone 217-735-5581
Mailing address
1725 N 11oo East RdTower Hill, IL 62571
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