Individual provider · Type 1 NPI

Adrienne Kelsey Tadlock, CPNP-AC

Pediatric Nurse Practitioner · Jackson, MS

NPI number 1033870605 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-1000 Map

Mailing address

6026 Chapel Hill Rd
Decatur, MS 39327-9263

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	905076 (MS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1033870605

Adrienne Kelsey Tadlock, CPNP-AC's National Provider Identifier is 1033870605, issued on Jan 6, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MS. The record was last updated on Jan 13, 2022.