Individual
MS. TINA R REED-HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPN
Contact information
Practice address
950 BROOKMAN BLVD, BROOKHAVEN, MS 39601
(601) 833-7973
(601) 823-3514
Mailing address
950 BROOKMAN BLVD, BROOKHAVEN, MS 39601
(601) 833-7973
(601) 823-3514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R855937
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07836065
—
MS
01
—
P00295890
RAILROAD MEDICARE
MS
Enumeration date
08/24/2006
Last updated
10/31/2016
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