Individual
DR. TAMMY F. FAULKNER-CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1201 HIGHWAY 49 S, SUITE 4, RICHLAND, MS 39218-9425
(601) 932-6400
(601) 932-6437
Mailing address
414 CLEVELAND ST, FOREST, MS 39074-3214
(601) 398-7248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R870557
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08287715
—
MS
01
—
78148 OR 78149
UNITED HEALTHCARE
—
Enumeration date
03/06/2011
Last updated
01/17/2017
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