NPI 1063373587
Tionna Alexis Tina Anderson
Practice location
- Address
- 2500 N State St, Jackson, MS 39216-4500
- Phone
- (601) 984-1000
- Mailing address
- 130 Swan Lake Cv, Jackson, MS 39212-5332
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1063373587
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Nov 2025
- Record last updated
- 1 Dec 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.