Provider Demographics
NPI: | 1285028969 |
---|---|
Name: | PIPKIN, VALERIE (CRNP) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | VALERIE |
Middle Name: | |
Last Name: | PIPKIN |
Suffix: | |
Gender: | F |
Credentials: | CRNP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 6701 AIRPORT BLVD |
Mailing Address - Street 2: | SUITE D-330 |
Mailing Address - City: | MOBILE |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 36608 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 251-607-9797 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6701 AIRPORT BLVD |
Practice Address - Street 2: | SUITE D-330 |
Practice Address - City: | MOBILE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 36608-6705 |
Practice Address - Country: | US |
Practice Address - Phone: | 251-607-9797 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2015-03-20 |
Last Update Date: | 2016-07-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | 1-094452 | 363LA2100X, 363LG0600X, 363L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
No | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |