Individual provider · Type 1 NPI

Tuyen Phan, NP

Nurse Practitioner · Cartersville, GA

NPI number 1174456560 Active

Practice location

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129

Mailing address

1862 Lenore Dr
Tacoma, WA 98406-1920

Other practice locations

  • 1862 Lenore Dr, Tacoma, WA 98406-1920 · (253) 651-5777

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP715003 (GA)
Acute Care Nurse Practitioner 363LA2100XAPRN-NP715003 (GA)

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 1174456560

Tuyen Phan, NP's National Provider Identifier is 1174456560, issued on Jun 4, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cartersville, GA. The record was last updated on Sep 22, 2026.