CAROL A TATUM ANP CNS NPI 1962402362

NPI Information

NPI: 1962402362
Provider Name: CAROL A TATUM, ANP CNS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1902 GALLERIA OAKS DR
TEXARKANA, TX
ZIP 75503
Phone: (903) 614-3800
Get Directions

Carol A Tatum, ANP CNS is a psychiatric/mental health clinical nurse specialist in Texarkana, TX. Carol A Tatum, ANP CNS NPI is 1962402362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1902 GALLERIA OAKS DR
TEXARKANA, TX
ZIP 75503-619
Phone: (903) 614-3800
Fax: (903) 614-3525

The enumeration date for this NPI number is 7/28/2005 and was last updated on 7/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	526526	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	82N377	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	S14811	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »