| Doctor Name: | VICKIE JEAN TIPTON |
| NPI Number: | 1023345279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RC1804-1804 |
| Business Practice Address: | 618 E Canadian Ave Vinita, OK - 743013810 |
| Business Phone Number: | 9182449876 |
| Business Fax Number: | |
| Mailing Address: | 618 E Canadian Ave, VINITA |
| State: | OK |
| Postal Code: | 743013810 |
| Phone Number: | 9182449876 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2009 |
| NPI Last Update Date: | 11/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3104A0625X |
| License Number: | RC1804-1804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | Assisted Living, Mental Illness |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |