| Doctor Name: | MRS. STEPHANIE DAVIS NIPPER |
| NPI Number: | 1033368543 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1128 |
| Business Practice Address: | 503 E Bell St 103 Murfreesboro, TN - 371303052 |
| Business Phone Number: | 6153966620 |
| Business Fax Number: | 6153966624 |
| Mailing Address: | Po Box 501123, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631501123 |
| Phone Number: | 6152848740 |
| Fax Number: | 6155656780 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 06/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1128 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |