Provider Demographics
NPI:1720417082
Name:FLIPSE, TRISH (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TRISH
Middle Name:
Last Name:FLIPSE
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIV OF N FL DR
Mailing Address - Street 2:STUDENT HEALTH SERVICES BUILDING 39A ROOM 2098
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-7699
Mailing Address - Country:US
Mailing Address - Phone:904-620-2900
Mailing Address - Fax:
Practice Address - Street 1:1 UNIV OF N FL DR
Practice Address - Street 2:STUDENT HEALTH SERVICES BUILDING 39A ROOM 2098
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-7699
Practice Address - Country:US
Practice Address - Phone:904-620-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9197935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily