TANYA WILSON TULLOS

PHILADELPHIA, MS
NPI1710538061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904858)
Enumeration Date2019-09-26
Last Update Date2021-09-08
Business Address
TANYA WILSON TULLOS NP-C
1001 HOLLAND AVE
PHILADELPHIA, MS 39350-2161
Phone number: 601-781-2234
Mailing Address
TANYA WILSON TULLOS NP-C
1001 HOLLAND AVE
PHILADELPHIA, MS 39350-2161
Phone number: 601-781-2234