NPI 1184441321

Teirra Wynn

Practitioner Family Nurse Practitioner Pontotoc, MS

Practice location

Address: 109 Highway 15 S, Pontotoc, MS 38863-2628
Phone: (662) 509-9934

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 906967 (MS)

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Registry record

NPI: 1184441321
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2024
Record last updated: 19 Sep 2024

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.