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Contact Information

AUNDREA J TIPTON, CNP
280 PATTONSVILLE ROAD
JACKSON, OH45640
 Phone: 740-395-8805
 Fax: 740-395-8855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AUNDREA J TIPTON · (Female)

NPI # 1518975945
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 08/03/2006
Last updated 12/29/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 299137
  • WV License # 57516
  • OH Medicaid 2503606
  • WV Medicaid 7103239000
  • Other 000000342883 ANTHEM BCBS
  • Other 001714158 MOUNTAIN STATE BCBS
  • Other P00122714 RR MEDICARE
  • OH Other 2503606 MOLINA MEDICAID
  • OH Other 310917085080 OH MEDICAID CARESOURCE
  • OH Other 000000204789 UNISON MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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