Individual
TIFFANY GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
961 S GLOSTER ST, TUPELO, MS 38801
(662) 377-4550
Mailing address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 377-4550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902769
MS
Other
Enumeration date
08/28/2018
Last updated
10/30/2018
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