Individual
MS. AMBER LEA CASSANDRA TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15190 COMMUNITY RD STE 220, GULFPORT, MS 39503-3483
(228) 539-3356
Mailing address
5300 OAK PARK DR UNIT 5316, DIAMONDHEAD, MS 39525-3218
(228) 342-2975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904007
MS
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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