Individual provider · Type 1 NPI
Shane Tipton, NP
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1114321775
Active
Practice location
6363 Forest Park Road 7th Floor Ste 749
Dallas, TX 75390-4426
Fax (214) 645-3775
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 675434 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114321775
Shane Tipton, NP's National Provider Identifier is 1114321775, issued on Oct 10, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, TX. The record was last updated on Jul 21, 2022.