Individual
BARBARA ANN TOLLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4084
(601) 984-2383
Mailing address
PO BOX 24146, JACKSON, MS 39225-4146
(601) 984-4084
(601) 984-2383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R819026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07783218
—
MS
01
—
P00650871
RAILROAD MEDICARE
MS
Enumeration date
10/04/2006
Last updated
07/05/2012
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