Individual
MRS. TABITHA SNOWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
971 LAKELAND DR STE 954, JACKSON, MS 39216-4609
(601) 200-4714
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4970
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
R858634
MS
363L00000X
Nurse Practitioner
Primary
858634
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125175
—
MS
Enumeration date
06/28/2006
Last updated
03/20/2024
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