Tamara Jenean Smith is a Family in Tupelo, Mississippi. Tamara Jenean Smith practices all healthcare services and medical treatments related to Family. The NPI Number for Tamara Jenean Smith is 1407968530. The last update date is 2007-07-08.
Tamara Jenean Smith's current location address is 602 Brunson Dr, Tupelo, Mississippi. You can contact this provider via phone number 6626803855 and fax number 6626803372. The mailing address for Tamara Jenean Smith is 602 Brunson Dr, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Jenean Smith |
|---|---|
| Address | 602 Brunson Dr, Tupelo, Mississippi |
| Phone Number | 6626803855 |
| Fax Number | 6626803372 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1407968530 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 602 Brunson Dr |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388014947 |
| Phone Number | 6626803855 |
| Fax Number | 6626803372 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R587702 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113839 | MS | -- |
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What is the Tamara Jenean Smith's unique identification number?
The Tamara Jenean Smith has been assigned the NPI (National Provider Identifier) Number 1407968530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is Tamara Jenean Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tamara Jenean Smith is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Tamara Jenean Smith receive its 1407968530 assignment from the Centers for Medicare & Medicaid Services?
The Tamara Jenean Smith was assigned its 1407968530 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Tamara Jenean Smith's details last updated?
The information pertaining to the Tamara Jenean Smith, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to Tamara Jenean Smith most recently updated or revised?
The information pertaining to Tamara Jenean Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.