SHADA BREEZE TENNYSON

TUPELO, MS
NPI1043851587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  903537)
Enumeration Date2019-10-07
Last Update Date2023-11-14
Business Address
SHADA BREEZE TENNYSON FNP-C
1018 N GLOSTER ST
TUPELO, MS 38804-1297
Phone number: 662-523-4950
Mailing Address
SHADA BREEZE TENNYSON FNP-C
1018 N GLOSTER ST
TUPELO, MS 38804-1297
Phone number: 662-523-4950
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