Individual
TYNESHA DEANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 BRIGHTON TRL, FLORENCE, MS 39073-6035
(601) 870-6797
Mailing address
507 BRIGHTON TRL, FLORENCE, MS 39073-6035
(601) 870-6797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908260
MS
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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