Individual
MRS. JENNIFER TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3538
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 401-9464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
894864
MS
163WC1600X
Continuing Education/Staff Development Registered Nurse
894864
MS
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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