Tenesha Coats

Individual provider Active NPI Registered Nurse · Taylorsville, MS

NPI 1821697111 · NPPES record last updated Oct 19, 2020

Key facts

NPI
1821697111
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
901897 (MS)
Practice address
176 Circle Rd
Taylorsville, MS 39168-4656
Phone
(601) 517-2691
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
901897MSMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 901897 MS Yes

Addresses

Primary practice location

176 Circle Rd
Taylorsville, MS 39168-4656

Mailing address

1155 Dairy Ashford Rd
Houston, TX 77079-3021
Phone (713) 799-2200

Other providers in Taylorsville, MS

All providers in Taylorsville, MS · Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.