Individual
MS. TAMMIE R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
3700 HARDY ST STE 10, HATTIESBURG, MS 39402-1614
(601) 602-2014
(601) 602-2015
Mailing address
57 SHARMONT DR, HATTIESBURG, MS 39402-1949
(601) 323-0671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
870300
MS
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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