Individual
TAMMARIN S COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7113
(662) 459-1310
Mailing address
1511 COLLEGE ST, CLEVELAND, MS 38732-2924
(662) 545-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902425
MS
Other
Enumeration date
03/28/2018
Last updated
11/13/2019
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