Individual
TERRI LYNN RIELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
105 CEDAR LN, CRYSTAL SPRINGS, MS 39059-8905
(601) 754-7115
Mailing address
105 CEDAR LN, CRYSTAL SPRINGS, MS 39059-8905
(601) 754-7115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778817
MS
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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