Provider Demographics
NPI:1184034688
Name:FLIPPO, DEE ANN (LPN)
Entity Type:Individual
Prefix:
First Name:DEE ANN
Middle Name:
Last Name:FLIPPO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 SINKING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37144-8532
Mailing Address - Country:US
Mailing Address - Phone:931-759-4251
Mailing Address - Fax:
Practice Address - Street 1:251 MAJORS BLVD RM 1
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:TN
Practice Address - Zip Code:37352-8325
Practice Address - Country:US
Practice Address - Phone:931-759-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000081480164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse