Individual
MRS. TYRONDA SHUREE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1500 E. WOODROOW WILSON DRIVE, GV SONNY MONTGOMERY DEPARTMENT OF VETERAN AFFAIRS, JACKSON, MS 39216
(601) 362-4471
(601) 364-1425
Mailing address
382 KINGS RIDGE CIR, BRANDON, MS 39047-6030
(601) 992-8752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865931
MS
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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