Individual
DEBBIE TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905484
MS
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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