Individual
DR. TINA DENISE MCDYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5192 HIGHWAY 11 N, ELLISVILLE, MS 39437-5050
(601) 479-4457
Mailing address
401 BELMONT AVE, NEWTON, MS 39345-2566
(601) 479-4457
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905967
MS
Other
Enumeration date
08/24/2022
Last updated
06/12/2023
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