Individual
TIFFANY BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 E BOLEY ST, PICAYUNE, MS 39466-2940
(228) 342-4153
(228) 342-4153
Mailing address
100 E BOLEY ST, PICAYUNE, MS 39466-2940
(228) 342-4153
(228) 342-4153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
865563
MS
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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