Individual
JACK TROLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
116 CYDELL DR, BALDWYN, MS 38824-9204
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
915483
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
902028
MS
Other
Enumeration date
07/24/2024
Last updated
01/29/2026
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