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
Fax: (662) 510-0192
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710242458 NPPES
Mississippi MEDICAID 07630093
Mississippi Other 272046ZWX3

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