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Individual

TESSIE O'QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC; AGACNP-C

Contact information

Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 344-9630
Mailing address
1008 MONBERAUT PL, DAUPHIN ISLAND, AL 36528-4310
(843) 425-4818

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-107396
AL
363LA2100X
Acute Care Nurse Practitioner
1-107396
AL
363LF0000X
Family Nurse Practitioner
Primary
1-107396
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102I508593
MEDICARE
AL
01
P01369519
RR MEDICARE
AL
Enumeration date
06/03/2014
Last updated
11/20/2023
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