Individual
COURTNEY TAYLOR NICOLE TULLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 624-3580
(662) 621-3131
Mailing address
10884 KATHY RD, COLLINSVILLE, MS 39325-9708
(601) 562-8663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908298
MS
Other
Enumeration date
03/24/2026
Last updated
03/25/2026
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