TIPTON PSYCHIATRY NPI 1548967896

NPI Information

NPI: 1548967896
Provider Name: TIPTON PSYCHIATRY
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 44D2276737

Address:
8440 HIGHWAY 51 S STE B
BRIGHTON, TN
ZIP 38011
Phone: (901) 486-0777
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TIPTON PSYCHIATRY is a psychiatric/mental health nurse practitioner in Brighton, TN. TIPTON PSYCHIATRY NPI is 1548967896. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8440 HIGHWAY 51 S STE B
BRIGHTON, TN
ZIP 38011-018
Phone: (901) 486-0777
Fax: (662) 673-3452

The provider's authorized official is Ashley Lynn Jenkins .
The authorized official title is Owner/provider and has the following contact phone number (901) 441-6448.

The CLIA number assigned to this NPI record is 44D2276737 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2023 and was last updated on 11/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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