| Aundrea Jill Tipton, CNP | |
|
280 Pattonsville Road, Jackson, OH 45640 | |
| (740) 395-8805 | |
| (740) 395-8855 |
| Full Name | Aundrea Jill Tipton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 280 Pattonsville Road, Jackson, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518975945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 57516 (West Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 299137 (Ohio) | Primary |
| Entity Name | Holzer Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Aundrea Jill Tipton, CNP 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 | Aundrea Jill Tipton, CNP 280 Pattonsville Road, Jackson, OH 45640 Ph: (740) 395-8805 |
April S. Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Burlington Rd, Jackson, OH 45640 Phone: 740-288-4625 Fax: 740-395-8506 |
Neesha Smith, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 740-395-8805 Fax: 740-395-8855 |
Kip Wayne Bryant, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Burlington Rd Ste 240, Jackson, OH 45640 Phone: 740-286-5075 Fax: 740-395-8411 |
Sarah Rachel Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14395 State Rt 93, Jackson, OH 45640 Phone: 740-288-7681 Fax: 740-288-7682 |
Alexis Paige Webb, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Twin Oaks Dr Ste B, Jackson, OH 45640 Phone: 740-682-0270 |
Mrs. Susan Marie Lykins, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Veterans Dr, Jackson, OH 45640 Phone: 740-395-8090 |
Amanda Nicole Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 740-395-8805 Fax: 740-395-8855 |