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Individual
MRS. TAMISHA SLAYTON HODUM
Active
Individual
MRS. TAMISHA SLAYTON HODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R879605
MS
363LF0000X
Family Nurse Practitioner
Primary
26473
TN
363LF0000X
Family Nurse Practitioner
903386
MS
Other
Enumeration date
05/18/2019
Last updated
01/23/2020
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