Walton, Tyrongilia Quereese
Walton, Tyrongilia Quereese is an sole proprietor health care provider with primary practice located at 1450 Highway 6 E , Batesville MS 38606-9213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walton, Tyrongilia Quereese can be contacted via phone (662) 561-7671.Contact Information
Primary practice address
1450 Highway 6 E
Batesville MS 38606-9213
Phone: (662) 561-7671
Fax: (662) 510-0192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R871879 | Mississippi |
Profile Details
| NPI number | 1710242458 |
|---|---|
| LBN Legal business name | Walton, Tyrongilia Quereese |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Aug 29th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710242458 | NPPES |
| Mississippi | MEDICAID | 07630093 | |
| Mississippi | Other | 272046ZWX3 |
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