Individual
MRS. TINA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1573 MEDICAL PARK CIR, TUPELO, MS 38801-6580
(662) 844-9885
(662) 842-1350
Mailing address
2725 CAROLINA RD, NETTLETON, MS 38858-8144
(662) 401-6207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865718
MS
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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