Lipscomb, Mary Christy

Lipscomb, Mary Christy is an individual health care provider with primary practice located at 1508 Tombras Ave , East Ridge TN 37412-2720. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lipscomb, Mary Christy can be contacted via phone (423) 867-4969.

Contact Information

Primary practice address
1508 Tombras Ave East Ridge TN 37412-2720
Phone: (423) 867-4969
Fax: (423) 867-4971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 17817 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 17817 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 17817 Tennessee

Profile Details

NPI number 1790127090
LBN Legal business name Lipscomb, Mary Christy
Credentials AG-ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2013
Last updated Jan 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790127090 NPPES
Tennessee Other 6050407 BCBS OF TENNESSEE
Tennessee MEDICAID Q014366 BCBS OF TENNESSEE

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