Individual
MRS. RENITA C TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2301 S LAMAR BLVD, HOSPITALIST OFFICE, OXFORD, MS 38655-5373
(662) 232-8568
(662) 513-1450
Mailing address
2301 S LAMAR BLVD, HOSPITALIST OFFICE, OXFORD, MS 38655-5373
(662) 232-8568
(662) 513-1450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13508
TN
363LF0000X
Family Nurse Practitioner
Primary
R879204
MS
Other
Enumeration date
06/26/2008
Last updated
11/10/2009
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