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Individual

MRS. ANSLEY TOLLISON VANLANDINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C (MSN, BSN)

Contact information

Practice address
1699 S COLORADO ST, GREENVILLE, MS 38703-7211
(662) 390-8992
(662) 335-7933
Mailing address
1699 S COLORADO ST, GREENVILLE, MS 38703-7211
(662) 390-8992
(662) 335-7933

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R884042
MS

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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