Individual
CULLEN TOMME SHOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5360 I 55 N STE 150, JACKSON, MS 39211-4055
(601) 345-8200
Mailing address
PO BOX 301, STAR, MS 39167-0301
(601) 382-6325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
915744
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
906955
MS
Other
Enumeration date
04/21/2023
Last updated
09/30/2024
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