Individual
TINEKA ODESSA GLADNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
26894 E MAIN ST, WEST POINT, MS 39773-7546
(662) 494-3640
Mailing address
461 MILLER RD, WEIR, MS 39772-9164
(662) 705-0168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
906186
MS
363LF0000X
Family Nurse Practitioner
Primary
906186
MS
Other
Enumeration date
08/28/2023
Last updated
03/04/2024
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