Individual
TAMMY JO ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1200 N STATE ST STE 180, JACKSON, MS 39202-2027
(601) 414-0484
(601) 500-5060
Mailing address
128 CHAPEL LN, MADISON, MS 39110-9069
(423) 339-7294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
901042
MS
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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