Individual
TINA GAIL BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 OFFICE PARK DR STE 100, OXFORD, MS 38655-3597
(662) 362-8250
(662) 259-8445
Mailing address
1200 OFFICE PARK DR STE 100, OXFORD, MS 38655-3597
(662) 362-8250
(662) 259-8445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902634
MS
Other
Enumeration date
07/27/2018
Last updated
10/06/2022
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