Individual
ASHLEIGH TINDALL FLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24975 MS HWY 15, MATHISTON, MS 39752
(662) 634-3089
Mailing address
5820 E OLD HIGHWAY 82, MATHISTON, MS 39752-5785
(662) 769-0561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904097
MS
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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