Provider Demographics
NPI:1942065404
Name:HIPSKY, TAMMI LYNN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:TAMMI
Middle Name:LYNN
Last Name:HIPSKY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7307 HINES VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-8325
Mailing Address - Country:US
Mailing Address - Phone:865-748-5402
Mailing Address - Fax:865-748-5402
Practice Address - Street 1:7307 HINES VALLEY RD
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-8325
Practice Address - Country:US
Practice Address - Phone:865-748-5402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35161363LF0000X
TN00000035161363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner