Individual
TELISA COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLPN
Contact information
Practice address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320748
MS
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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