Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Christy Lipscomb, AG-ACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1790127090

Mrs. Mary Christy Lipscomb, AG-ACNP-BC is a Gerontology Nurse Practitioner in East Ridge, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
Specialties on file
3

Practice location Address checks out

1508 Tombras Ave
East Ridge, TN 37412-2720
Phone: (423) 867-4969
Fax: (423) 867-4971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 17817 (TN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 17817 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 17817 (TN)

Record details

NPI number1790127090
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP-BC
Sole proprietorNo
NPI enumeratedJuly 27, 2013
Last updated in NPPESJanuary 6, 2016