Provider Demographics
NPI:1053796227
Name:TIPTON, HILLARY LYNN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:LYNN
Last Name:TIPTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2081 COLONIAL CIR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-2678
Mailing Address - Country:US
Mailing Address - Phone:865-661-8513
Mailing Address - Fax:
Practice Address - Street 1:2081 COLONIAL CIR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-2678
Practice Address - Country:US
Practice Address - Phone:865-661-8513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant