Provider Demographics
NPI:1548967896
Name:TIPTON PSYCHIATRY
Entity type:Organization
Organization Name:TIPTON PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:901-441-6448
Mailing Address - Street 1:8440 HIGHWAY 51 S STE B
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011-8018
Mailing Address - Country:US
Mailing Address - Phone:901-486-0777
Mailing Address - Fax:662-673-3452
Practice Address - Street 1:8440 HIGHWAY 51 S STE B
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:TN
Practice Address - Zip Code:38011-8018
Practice Address - Country:US
Practice Address - Phone:901-486-0777
Practice Address - Fax:662-673-3452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty