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General NPI Number Information
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NPI Number | 1548967896
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Entity Type | Organization
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Legal Business Name | TIPTON PSYCHIATRY
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 8440 HIGHWAY 51 S STE B
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City | BRIGHTON
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State | TN
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Zip | 38011-8018
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Country | US
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Telephone | 901-486-0777
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Fax | 662-673-3452
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Provider Business Mailing Address
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Address Line | 8440 HIGHWAY 51 S STE B
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City | BRIGHTON
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State | TN
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Zip | 38011-8018
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Country | US
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Telephone | 901-486-0777
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Fax | 662-673-3452
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. ASHLEY LYNN JENKINS
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Credential | PMHNP-BC
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Telephone | 901-441-6448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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