Individual
MRS. TAMMY E. KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 HALLS CV, SENATOBIA, MS 38668-6620
(662) 562-9003
(662) 562-4007
Mailing address
103 HALLS CV, SENATOBIA, MS 38668-6620
(662) 562-9003
(662) 562-4007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12400
TN
363LF0000X
Family Nurse Practitioner
Primary
902068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08735004
—
MS
Enumeration date
03/20/2007
Last updated
10/18/2023
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