Shonna Dickard
NPI #1649695644 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1649695644
- Entity Type
- Individual
- Name
- Shonna Dickard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 27, 2014
- Last Updated
- Feb 27, 2014
Practice Location
- Address
- 830 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4934
- Phone
- (663) 377-4164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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