Individual
TINA J CECCORULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(228) 872-6291
(228) 875-3385
Mailing address
3616 HOSPITAL ST, SUITE A, PASCAGOULA, MS 39581-4117
(228) 872-7684
(228) 762-7109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901580
MS
Other
Enumeration date
06/27/2016
Last updated
07/12/2016
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