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TERESA B. REDMOND FNP

Nursing Yellow Pages

Meridian, Mississippi

Provider NPI: 1780682807

Provider Information:
 TERESA B. REDMOND FNP


Practice Location:
1314 19TH AVE  MERIDIAN, MS 39301 US
Tel: 601-703-4415  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MSR504955
N363LX0106XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MSR504955

Other Provider Identifiers:

IssuerNumberStateType
00118205MS05
RAILROAD MEDICARE50000375201
891001670AL05
BLUE CROSS OF AL730-0051601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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