Mary Elizabeth Tullos FNP

NPI 1639339682 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1639339682
Gender Female
Enumeration Date 06/12/2008
Last Updated 10/20/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1150 CASINO STRIP RESORT BLVD
ROBINSONVILLE MS, 38664, US
Phone (662) 357-7707
Fax (662) 357-7807
Business Location
1150 CASINO STRIP RESORT BLVD
HOLLYWOOD WELLNESS CLINIC
ROBINSONVILLE MS, 38664, US
Phone (662) 357-7707
Fax (877) 818-2153
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R869304
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According to our database, Mrs. Mary Elizabeth Tullos FNP NPI is 1639339682, taxonomy code is 363LF0000X and license number is R869304, license state is located at Mississippi. Mary Elizabeth Tullos FNP physically located at 1150 Casino Strip Resort Blvd, Robinsonville MS, 38664. NPI Number Mary Elizabeth Tullos FNP has the Individual type.

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1639339682 NPI number is provided on an as is basis without warranty of any kind. 1639339682 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Elizabeth Tullos FNP are for informational purposes only.