Individual
JAZZMA TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
499 GLOSTER CREEK VLG STE G1, TUPELO, MS 38801-4751
(662) 377-2663
Mailing address
4381 S EASON BLVD, TUPELO, MS 38801-6583
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
902492
MS
363LF0000X
Family Nurse Practitioner
Primary
902492
MS
Other
Enumeration date
04/20/2018
Last updated
12/03/2020
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