Individual
TARAH CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6798 US HIGHWAY 98 SUITE 30, HATTIESBURG, MS 39402
(601) 596-9053
(601) 336-6615
Mailing address
6798 HIGHWAY 98 SUITE 30, HATTIESBURG, MS 39402
(601) 596-9053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
901435
MS
363LF0000X
Family Nurse Practitioner
Primary
901435
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06158839
—
MS
Enumeration date
02/08/2016
Last updated
02/14/2025
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