Broome, Tamika M

Broome, Tamika M is an individual health care provider with primary practice located at 350 W Woodrow Wilson Ave # 411 , Jackson MS 39213-7681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Broome, Tamika M can be contacted via phone (601) 432-3237.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave # 411 Jackson MS 39213-7681
Phone: (601) 432-3237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 902170 Mississippi

Profile Details

NPI number 1306350129
LBN Legal business name Broome, Tamika M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2017
Last updated Jan 19th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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