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General NPI Number Information
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NPI Number | 1003329111
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Entity Type | Individual
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Provider Name | KATHY NIPPERS FNP
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Gender | Female
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2335 SEMINOLE LN STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8303
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Country | US
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Telephone | 434-980-6161
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Fax | 434-972-4283
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Provider Business Mailing Address
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Address Line | PO BOX 749112
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City | ATLANTA
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State | GA
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Zip | 30374-9112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024187761
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024187761
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0030119
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 22607
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 163WF0300X
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Taxonomy Name | Flight Registered Nurse
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License Number | 22607
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License Number State | TN
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