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Individual

TAMMY SHERRELL CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
619 S STATE ST, CLARKSDALE, MS 38614-6319
(662) 966-1012
(662) 966-1013
Mailing address
619 S STATE ST, CLARKSDALE, MS 38614-6319
(662) 966-1012
(662) 966-1013

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903725
MS

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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