Individual
MARY SHAREE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
144 S THOMAS ST STE 202, TUPELO, MS 38801-5337
(662) 269-4453
Mailing address
144 S THOMAS ST STE 202, TUPELO, MS 38801-5337
(662) 269-4453
(662) 583-4018
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R803122
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00622390
—
MS
01
—
1154572857
INDIVIDUAL NPI
MS
01
—
1518237932
GROUP NPI
MS
01
—
R803122
BOARD OF NURSING
MS
Enumeration date
10/01/2008
Last updated
05/07/2025
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