Individual
JAMESHA TUMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
60021 MONROE ST, SMITHVILLE, MS 38870
(662) 651-4637
Mailing address
PO BOX 305, SMITHVILLE, MS 38870-0305
(662) 651-4637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R879750
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02733791
—
MS
Enumeration date
05/30/2012
Last updated
07/16/2018
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