Tamatha Nicole Owen
NPI #1467095927 in Forest, Mississippi
Provider Information
- NPI Number
- 1467095927
- Entity Type
- Individual
- Name
- Tamatha Nicole Owen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 28, 2019
- Last Updated
- Oct 28, 2019
Practice Location
- Address
- 1061 HIGHWAY 35 S
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074
- Phone
- (931) 253-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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