Individual
MRS. TERESA R BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 844-1717
(662) 680-6416
Mailing address
2006 WINFIELD DR, TUPELO, MS 38801-3121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R598178
MS
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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