Individual
MRS. MARY BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 HORNBROOK ST, DYERSBURG, TN 38024-4425
(731) 334-2116
Mailing address
1107 HORNBROOK ST, DYERSBURG, TN 38024-4425
(731) 334-2116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QO36844
—
TN
Enumeration date
05/27/2022
Last updated
06/24/2025
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