Individual
TINA U. MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24489 HIGHWAY 80, LAKE, MS 39092-3511
(601) 775-3264
(601) 775-3097
Mailing address
PO BOX 2065, MERIDIAN, MS 39302-2065
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R588199
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013436
—
MS
01
—
500008623
RAILROAD MEDICARE
—
Enumeration date
11/17/2005
Last updated
11/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us