person
Shada Breeze Tennyson, FNP-C
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1043851587

Shada Breeze Tennyson is a Family Nurse Practitioner based in Tupelo, MS and is specialized in Family. Shada Breeze Tennyson practices in Tupelo, MS and has the professional credentials of FNP-C. The NPI Number for Shada Breeze Tennyson is 1043851587 and holds a License No. 903537 (Mississippi).

The current practice location address for Shada Breeze Tennyson is 1018 N Gloster St, Tupelo, MS and can be reached out via phone at 662-523-4950 and via fax at 662-890-5746.

Location: 1018 N Gloster St, Tupelo, MS, 38804-1297
person
Provider Profile Details
NPI Number
1043851587
Provider Name
Shada Breeze Tennyson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1018 N Gloster St, Tupelo, MS, 38804-1297
Phone Number
662-523-4950
Fax Number
662-890-5746
Provider Enumeration Date
10/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1018 N Gloster St
City
State
Zip
38804-1297
Phone Number
662-523-4950
Fax Number
662-890-5746
person
Provider Business Mailing Address Details
Address
1018 N Gloster St
City
State
Zip
38804-1297
Phone Number
662-523-4950
Fax Number
662-890-5746
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
903537 (Mississippi)
Definition
Definition to come...
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