Individual
MRS. COURTNEY WAGES TOMLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
350 W WOODROW WILSON AVE, SUITE 1600, JACKSON, MS 39213-7681
(601) 815-6869
Mailing address
350 W WOODROW WILSON AVE, SUITE 1600, JACKSON, MS 39213-7681
(601) 815-6869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R868601
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06879358
—
MS
Enumeration date
05/19/2008
Last updated
11/17/2008
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