Healthcare Provider Details

I. General information

NPI: 1447750443
Provider Name (Legal Business Name): TOREY ELAINA SIPPIO-JAMES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPRING HARBOR DR
COLUMBUS GA
31904-4619
US

IV. Provider business mailing address

6458 WOODBRIAR LN
MIDLAND GA
31820-3753
US

V. Phone/Fax

Practice location:
  • Phone: 781-436-2273
  • Fax:
Mailing address:
  • Phone: 337-424-3132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN331323
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN400206
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: