Individual
MS. TAMI BIVINS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
603B HWY 365, BURNSVILLE MEDICAL CLINIC, BURNSVILLE, MS 38833
(662) 427-9999
(662) 427-9977
Mailing address
2006 NORTH MADISON STREET, CORINTH, MS 38834
(662) 287-6811
(662) 427-9977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R605972
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118256
—
MS
Enumeration date
10/04/2006
Last updated
01/21/2009
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