Madison Bullard Long, NP
NPI #1659258515 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1659258515
- Entity Type
- Individual
- Name
- Madison Bullard Long, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Aug 20, 2025
- Last Updated
- Aug 20, 2025
Practice Location
- Address
- 830 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4996
- Phone
- (662) 377-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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