Individual
FRANCES HAMPTON TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8150
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8150
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
R877396
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02251053
—
MS
Enumeration date
07/02/2014
Last updated
01/21/2015
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