Healthcare Provider Details

I. General information

NPI: 1538832712
Provider Name (Legal Business Name): SHARON LAWANDA TIPLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 4TH ST SW STE 102
HICKORY NC
28602-2872
US

IV. Provider business mailing address

2860 MEADOW CREEK DR
DALLAS NC
28034-9209
US

V. Phone/Fax

Practice location:
  • Phone: 828-269-0773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number29945
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: