Individual
TYESHA PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 SADDLEBROOK DR, MERIDIAN, MS 39305-9548
(601) 616-9008
Mailing address
500 SADDLEBROOK DR, MERIDIAN, MS 39305-9548
(601) 616-9008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
918302
MS
363LP2300X
Primary Care Nurse Practitioner
906923
MS
Other
Enumeration date
10/24/2024
Last updated
12/02/2024
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