MEDICARE: SHARON LAWANDA TIPLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	29945	TN

General Provider Information

NPI Number	:	1538832712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON LAWANDA TIPLER

Provider Business Mailing Address
First Line	:	2860 MEADOW CREEK DR
Second Line	:
City	:	DALLAS
State	:	NC
Zip	:	28034-9209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 4TH ST SW STE 102
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-2872
Country	:	US
Telephone Number	:	828-269-0773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	12/01/2025

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Directions to “ SHARON LAWANDA TIPLER ” Practice Location

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