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Contact Information

TANYONISHA R DALE
411 SHARON HILLS DR
JACKSON, MS39212-2234
 Phone: 601-918-6275
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for TANYONISHA R DALE · (Female)

NPI # 1154767309
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2013
Last updated 05/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R856193
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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