Individual
TAMMY L. PELEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
504 AZALEA DR, STE A, OXFORD, MS 38655-5397
(662) 236-7738
(662) 236-9642
Mailing address
965 RIDGE LAKE BLVD 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871187
MS
Other
Enumeration date
08/26/2011
Last updated
07/22/2015
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