MEDICARE: JESSICA SARAH KATHRYN TIPTON NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.021000	OH

General Provider Information

NPI Number	:	1790208577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA SARAH KATHRYN TIPTON NP-C

Provider Business Mailing Address
First Line	:	500 N MAIN ST
Second Line	:
City	:	LEWISBURG
State	:	OH
Zip	:	45338-9503
Country	:	US
Telephone Number	:	937-297-8999
Fax Number	:	937-297-4852

Provider Business Practice Location Address
First Line	:	8701 OLD TROY PIKE STE 10
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-1053
Country	:	US
Telephone Number	:	937-237-5294
Fax Number	:	937-237-4748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2017
Last Update Date	:	12/04/2019

Similar Medicare Providers

1568440030 — BRANDAN C WHEELER PA
Practice Location Address:

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH
45424-1053

Practice Phone: 937-396-2880
Practice Fax: 937-396-2205

1972906154 — KATERINA FELLERS PA-C
Practice Location Address:

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH
45424-1053

Practice Phone: 937-396-2880
Practice Fax:

1790365286 — ELIJAH KELLEY DO
Practice Location Address:

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH
45424-1053

Practice Phone: 937-396-2880
Practice Fax: 937-396-2205

1982412383 — MADYSEN TAYLOR ACRA PA-C
Practice Location Address:

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH
45424-1053

Practice Phone: 937-396-2880
Practice Fax:

1225199623 — DR. EDWARD LEONARD MONTWILL O.D.
Practice Location Address:

11749 SOUTHWEST HWY , SUITE C
PALOS HEIGHTS, IL
60463-1053

Practice Phone: 708-361-5236
Practice Fax: 708-361-5489

1841563681 — EDWARD L MONTWILL OD, LTD.
Practice Location Address:

11749 SOUTHWEST HWY # C
PALOS HEIGHTS, IL
60463-1053

Practice Phone: 708-361-5236
Practice Fax: 708-361-5489

Directions to “ JESSICA SARAH KATHRYN TIPTON NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.