Individual
MS. SYLVIA FARRISH REDD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
900 WYCHE ST, TALLULAH, LA 71282-2018
(318) 574-5371
(318) 574-5345
Mailing address
1308 FAYETTE ST, VICKSBURG, MS 39183-2258
(601) 638-3123
(601) 638-9353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN059280 APO2557
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101486
—
LA
Enumeration date
06/24/2005
Last updated
07/08/2007
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