TANYA WILLIS

JACKSON, MS
NPI1306873732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: MS  R851015)
Enumeration Date2006-06-28
Last Update Date2012-06-14
Business Address
-- TANYA WILLIS CNNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5260
Mailing Address
-- TANYA WILLIS CNNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5260
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