Individual
SHAWNER TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
665 S PEAR ORCHARD RD, RIDGELAND, MS 39157-4861
(601) 921-5081
(601) 860-9834
Mailing address
5537 HIGHWAY 84, PRENTISS, MS 39474-4482
(601) 441-8326
(601) 860-9834
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
063018-PWECW15312
MS
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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