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Rebecca Tustain, NP

Nurse Practitioner in Vicksburg, MS. Individual provider (NPI-1).

NPI number1992730998
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992730998
Entity type
Individual (NPI-1)
Name
Rebecca Tustain
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR543349MSYes

Practice location

1115 N Frontage Rd
Vicksburg, MS 39180-5102

Phone 601-634-8790

Mailing address

1115 N Frontage Rd
Vicksburg, MS 39180-5102

Phone 601-634-8790

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