Healthcare Provider Details

I. General information

NPI: 1477720654
Provider Name (Legal Business Name): NARIN J TIPTON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 NE RALPH POWELL RD STE A
LEES SUMMIT MO
64064-2316
US

IV. Provider business mailing address

3601 NE RALPH POWELL RD STE A
LEES SUMMIT MO
64064-2316
US

V. Phone/Fax

Practice location:
  • Phone: 816-836-2200
  • Fax: 816-836-2244
Mailing address:
  • Phone: 816-836-2200
  • Fax: 816-836-2244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number155933
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: