NPI 1013703016
Raven S Eldridge
Practice location
- Address
- 1665 S Green St, Tupelo, MS 38804-6556
- Phone
- (662) 377-2189
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1013703016
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Apr 2025
- Record last updated
- 16 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.