Provider Demographics
NPI:1346797305
Name:PIPKIN, JOHN WESTLEY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WESTLEY
Last Name:PIPKIN
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:STE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-0366
Mailing Address - Country:US
Mailing Address - Phone:573-883-4473
Mailing Address - Fax:
Practice Address - Street 1:120 PLAZA DR
Practice Address - Street 2:
Practice Address - City:STE GENEVIEVE
Practice Address - State:MO
Practice Address - Zip Code:63670-1828
Practice Address - Country:US
Practice Address - Phone:573-883-4408
Practice Address - Fax:573-883-1189
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017022253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily