Tyrone Leavette Rupert, N.P.
NPI #1164759965 in Columbus, Mississippi
Provider Information
- NPI Number
- 1164759965
- Entity Type
- Individual
- Name
- Tyrone Leavette Rupert, N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- N.P.
- Enumeration Date
- Nov 16, 2009
- Last Updated
- Nov 16, 2009
Practice Location
- Address
- 824 ALABAMA ST
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39702-5436
- Phone
- (662) 244-0391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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