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Organization
PANORAMIC CARE
Active
Organization
PANORAMIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ROULIER NP (NURSE PRACTITIONER)
(601) 480-3986
Entity
Organization
Contact information
Practice address
5000 HIGHWAY 39 N, MERIDIAN, MS 39301-1021
(601) 480-3986
Mailing address
6135 B W JOHNSON RD, MERIDIAN, MS 39301-8435
(601) 480-3986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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