Individual
TAMIKA M BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 W WOODROW WILSON AVE # 411, JACKSON, MS 39213-7681
(601) 432-3237
Mailing address
350 W WOODROW WILSON AVE STE 411, JACKSON, MS 39213-7681
(601) 432-3237
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
902170
MS
Other
Enumeration date
12/01/2017
Last updated
01/19/2018
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