Individual
JESSICA TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E LEE ST, SARDIS, MS 38666-1227
(662) 487-0004
Mailing address
401 E LEE ST, SARDIS, MS 38666-1227
(662) 487-0004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874755
MS
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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