Individual
DR. TYRONGILIA QUEREESE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1450 HIGHWAY 6 E, BATESVILLE, MS 38606-9213
(662) 561-7671
(662) 510-0192
Mailing address
1450 HIGHWAY 6 E, BATESVILLE, MS 38606-9213
(662) 561-7671
(662) 510-0192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871879
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07630093
—
MS
01
—
272046ZWX3
MEDICARE
MS
Enumeration date
07/09/2012
Last updated
08/29/2023
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