Individual
TIMOTHY PAUL MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
350 W WOODROW WILSON AVE, #499A, JACKSON, MS 39213-7681
(601) 500-7709
Mailing address
350 W WOODROW WILSON AVE, #499A, JACKSON, MS 39213-7681
(601) 500-7709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1013918
DC
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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