Individual
TINA D HIGHFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
129 CENTER ST STE B, RICHLAND, MS 39218-4800
(769) 233-7141
Mailing address
118 MULLHERRIN DR, MADISON, MS 39110-4533
(601) 407-3226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R676276
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123299
—
MS
01
—
302I506854
MEDICARE
MS
Enumeration date
02/08/2006
Last updated
10/22/2023
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