Individual
MRS. JOSEPHINE A SLYCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 285-2410
(731) 287-2177
Mailing address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 285-2410
(731) 287-2177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68742
TN
363L00000X
Nurse Practitioner
Primary
6020
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341971
—
TN
Enumeration date
10/03/2006
Last updated
01/23/2010
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