MRS. TARA B ENLOW (NPI# 1336266550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336266550 |
| Entity Type | Individual |
| Full Name | MRS. TARA B ENLOW |
| Credential | CFNP |
| Practice Address |
202 Interchange Dr Fulton MS 38843-6011 |
| Practice Telephone | 6628629040 |
| Practice Fax Number | 6628629091 |
| Mailing Telephone | 6628629040 |
| Mailing Fax Number | 6628629091 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R860076 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04103589 | 05 |
| Street Address |
202 INTERCHANGE DR |
| City | FULTON |
| State | MS |
| Zip Code | 38843-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750704862 | Rhonda Rhea Tucker | Spec/Tech, Cardiovascular | 202 Interchange Dr, Fulton, MS 38843-6011 | 2014-01-24 |
| 1780890517 | Express Care of Fulton | Clinic/Center | 202 Interchange Dr, Fulton, MS 38843-6011 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1740416429 | Joshua Michael Hatfield | Optometrist | 1310 E Walker St, Fulton, MS 38843 | 2009-06-08 |
| 1174691141 | Ronald L. Wheeler | Dentist | 1309 South Adams Street, Fulton, MS 38843 | 2006-11-30 |
| 1003990193 | Total Eye Care PC | Optometrist | 1310 E. Walker St., Fulton, MS 38843 | 2006-10-25 |
| 1477658912 | Rodolfo Noche Arriola | General Practice | 418 Hospital Rd, 1, Fulton, MS 38843 | 2006-09-13 |
| 1720095896 | Timothy J Evans | Nurse Practitioner | 1301 S Adams St, Fulton, MS 38843 | 2006-08-02 |
| 1376567941 | Gerald E. Klein | Chiropractor | 101 Wheeler Dr Suite B, Fulton, MS 38843 | 2006-07-27 |
| 1497197529 | Adrianna Beth Johnson | Physical Therapist | 406 Interchange Drive, Fulton, MS 38843 | 2013-07-17 |
| Find all providers in zip 38843 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1245890177 | Jo-ann Walter Middleton | Nurse Practitioner | 11957 Lime Kiln Rd, Fulton, MD 20759-9616 | 2019-06-13 |
| 1396200408 | Paige A Nabors | Nurse Practitioner | 800 Scott Senter Rd, Fulton, MS 38843-6238 | 2019-02-02 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1730695503 | Sametta Rhoda Sanyaolu | Nurse Practitioner | 7625 Maple Lawn Blvd Ste 260, Fulton, MD 20759-2565 | 2017-12-15 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1316214182 | Lynne M Coffey | Nurse Practitioner | 1130 17th St Ste B, Fulton, IL 61252-2008 | 2011-11-22 |
| 1669775821 | Jolane Sue Conklin | Nurse Practitioner | 2221 1 1/2 Mile Rd, Fulton, MI 49052-9632 | 2010-12-09 |
| 1386813855 | Zorina Marie Pina-hauan | Nurse Practitioner | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-02-28 |
| 1376645697 | Rebecca Claire Northington | Nurse Practitioner | 302 Hospital Rd, Fulton, MS 38843-6002 | 2006-09-05 |
| Find all providers in FULTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.