Provider Demographics
NPI:1073346763
Name:PIPPEN, CASEY ANN
Entity type:Individual
Prefix:MISS
First Name:CASEY
Middle Name:ANN
Last Name:PIPPEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:NC
Mailing Address - Zip Code:27812-9781
Mailing Address - Country:US
Mailing Address - Phone:252-814-8408
Mailing Address - Fax:
Practice Address - Street 1:599 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:NC
Practice Address - Zip Code:27812-9781
Practice Address - Country:US
Practice Address - Phone:252-814-8408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health