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Individual

KAYLA TIARA MCMORISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1995 HIGHWAY 51 S, COVINGTON, TN 38019-3635
(901) 476-2621
Mailing address
PO BOX 382, HERNANDO, MS 38632-0382
(662) 420-1410

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25415
TN
363LF0000X
Family Nurse Practitioner
Primary
2018072416
CA

Other

Enumeration date
02/17/2019
Last updated
08/21/2023
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