Individual provider · Type 1 NPI

Arnette Olivia Tates, DNP, FNP-BC, PMHNP-BC

Nurse Practitioner · Elizabeth City, NC

NPI number 1154623965 Active · reactivated Aug 14, 2026

Practice location

905 Halstead Blvd Ste 16
Elizabeth City, NC 27909-6816

Fax (855) 434-2525

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5004744 (NC)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154623965

Arnette Olivia Tates, DNP, FNP-BC, PMHNP-BC's National Provider Identifier is 1154623965, issued on Nov 30, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elizabeth City, NC. The record was last updated on Aug 16, 2026.