Individual
TAMECIA HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 622-7749
Mailing address
969 LAKELAND DR, JACKSON, MS 39216-4606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904909
MS
Other
Enumeration date
09/22/2021
Last updated
01/14/2025
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