Healthcare Provider Details

I. General information

NPI: 1841818010
Provider Name (Legal Business Name): DANA HALL SINIARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 N GLOSTER ST
TUPELO MS
38804-1297
US

IV. Provider business mailing address

109 BERINGER DR
GUNTOWN MS
38849-8501
US

V. Phone/Fax

Practice location:
  • Phone: 662-890-5554
  • Fax:
Mailing address:
  • Phone: 256-244-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-097246
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: