Mary Elizabeth Tullos in Southaven - Nurse Practitioner
Mary Elizabeth Tullos - NPI 1639339682
Mary Elizabeth Tullos is a Nurse Practitioner in Southaven, Mississippi. Mary Elizabeth Tullos practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Elizabeth Tullos is 1639339682. The last update date is 2023-10-05.
Mary Elizabeth Tullos's current location address is 3451 Goodman Rd E Ste 115, Southaven, Mississippi. You can contact this provider via phone number 6628905555 and fax number 6628908899. The mailing address for Mary Elizabeth Tullos is 3451 Goodman Rd E Ste 115, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Tullos |
|---|---|
| Address | 3451 Goodman Rd E Ste 115, Southaven, Mississippi |
| Phone Number | 6628905555 |
| Fax Number | 6628908899 |
| Sole Proprietor | N |
| Credentials | NP-C |
NPI Number Detail
| NPI Number | 1639339682 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 3451 Goodman Rd E Ste 115 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386729304 |
| Phone Number | 6628905555 |
| Fax Number | 6628908899 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 13240 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Mary Elizabeth Tullos by the Centers for Medicare & Medicaid Services?
The Mary Elizabeth Tullos has been assigned the NPI (National Provider Identifier) 1639339682. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Elizabeth Tullos?
The Mary Elizabeth Tullos is situated at 3451 Goodman Rd E Ste 115, in the city of Southaven, state of MS, with the zip code 386729304.
What is Mary Elizabeth Tullos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Elizabeth Tullos's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Mary Elizabeth Tullos receive its 1639339682 assignment from the Centers for Medicare & Medicaid Services?
The Mary Elizabeth Tullos was assigned its 1639339682 by the Centers for Medicare & Medicaid Services on 2008-06-12.
As of what date was the information regarding Mary Elizabeth Tullos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Elizabeth Tullos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-05.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH