person
Tina U. Mabry, FNP
Family Nurse Practitioner in Lake, Mississippi
NPI 1003898859

Tina U. Mabry is a Family Nurse Practitioner based in Meridian, MS and is specialized in Family. Tina U. Mabry practices in Lake, MS and has the professional credentials of FNP. The NPI Number for Tina U. Mabry is 1003898859 and holds a License No. R588199 (Mississippi).

The current practice location address for Tina U. Mabry is 24489 Highway 80, Lake, MS and can be reached out via phone at 601-775-3264 and via fax at 601-775-3097.

Location: 24489 Highway 80, Lake, MS, 39302-2065
person
Provider Profile Details
NPI Number
1003898859
Provider Name
Tina U. Mabry
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
24489 Highway 80, Lake, MS, 39302-2065
Phone Number
601-775-3264
Fax Number
601-775-3097
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00013436 05 MS
500008623 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
24489 Highway 80
City
State
Zip
39092-3511
Phone Number
601-775-3264
Fax Number
601-775-3097
person
Provider Business Mailing Address Details
Address
24489 Highway 80
City
State
Zip
39092-3511
Phone Number
601-775-3264
Fax Number
601-775-3097
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R588199 (Mississippi)
Definition
Definition to come...
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