Provider Demographics
NPI:1144539198
Name:TINSLEY, JAMES PAUL
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:TINSLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 MCCULLOUGH BLVD
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-7101
Mailing Address - Country:US
Mailing Address - Phone:662-620-9606
Mailing Address - Fax:662-620-9603
Practice Address - Street 1:1776 MCCULLOUGH BLVD
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-7101
Practice Address - Country:US
Practice Address - Phone:662-620-9606
Practice Address - Fax:662-620-9603
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS8335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist