Individual
TIERRA JACKSON PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM. LM
Contact information
Practice address
840 JUNIPER CRES STE 102, CHESAPEAKE, VA 23320-2628
(757) 335-6060
Mailing address
719 GRAYDON AVE, NORFOLK, VA 23507-1620
(757) 335-6060
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000207
VA
Other
Enumeration date
08/02/2024
Last updated
09/05/2024
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