Individual
TAMMY T TAYLOR-BUFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 MEDICAL DR, CLARKSDALE, MS 38614-6732
(662) 621-1915
Mailing address
1274 ALONZO GIPSON RD, SARDIS, MS 38666-2746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11379
WI
363LF0000X
Family Nurse Practitioner
R850459
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4554277
—
MS
Enumeration date
07/11/2006
Last updated
10/05/2021
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