Individual
MRS. TAMMIE C WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
305 MILL ST, BALDWYN, MS 38824-2122
(662) 365-3253
(662) 365-3484
Mailing address
305 MILL ST, BALDWYN, MS 38824-2122
(662) 365-3253
(662) 365-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R574929
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03222231
—
MS
01
—
32-0073167
HEALTHLINK
MS
Enumeration date
01/19/2007
Last updated
07/08/2007
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