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MRS. DIETRICHE STEWART JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1041 S MADISON ST, TUPELO, MS 38801-6391
(662) 844-8754
Mailing address
1041 S MADISON ST, TUPELO, MS 38801-6391
(662) 844-8754

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R856204
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01704876
MS
Enumeration date
11/14/2007
Last updated
07/20/2022
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