Snowdy, Tabitha

Snowdy, Tabitha is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 954 , Jackson MS 39216-4609. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Snowdy, Tabitha can be contacted via phone (601) 200-4714.

Contact Information

Primary practice address
971 Lakeland Dr Ste 954 Jackson MS 39216-4609
Phone: (601) 200-4714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X R858634 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 858634 Mississippi

Profile Details

NPI number 1477580819
LBN Legal business name Snowdy, Tabitha
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 20th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477580819 NPPES
Mississippi MEDICAID 00125175

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