Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shawner Tyson, PHLEBOTOMIST

Individual provider Phlebotomy Technician · NPI 1376420570

Shawner Tyson, PHLEBOTOMIST is a Phlebotomy Technician in Ridgeland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025
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Practice location Address checks out

665 S Pear Orchard Rd
Ridgeland, MS 39157-4861
Phone: (601) 921-5081
Fax: (601) 860-9834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence 063018-PWECW15312 (MS)

Record details

NPI number1376420570
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHLEBOTOMIST
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address5537 Highway 84, Prentiss, MS 39474-4482

Other providers in Ridgeland