Individual
TIMOTHY CONN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 261-5700
(601) 261-5777
Mailing address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 261-5700
(601) 261-5777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
874273
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03329291
—
MS
01
—
902061
NURSE PRACTITIONER LICENSE
MS
Enumeration date
05/01/2017
Last updated
04/21/2021
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