Individual
TAMMY HOADLEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
735 S WASHINGTON AVE, MOBILE, AL 36603-1301
(251) 433-2642
Mailing address
2018 IVY CT, BILOXI, MS 39532-4123
(228) 209-0072
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902522
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-166819
BOARD OF NURSING
AL
01
—
896464
BOARD OF NURSING
MS
01
—
902522
BOARD OF NURSING
MS
Enumeration date
02/22/2018
Last updated
03/17/2018
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