TABITHA LONG

JBSA LACKLAND, TX
NPI1972193746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904396)
Enumeration Date2021-01-25
Last Update Date2025-03-22
Business Address
TABITHA LONG FNP-C
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 251-610-2812
Mailing Address
TABITHA LONG FNP-C
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: