Individual provider · Type 1 NPI

Tamika Blue, FNP-BC

Adult Medicine Physician · Jonesboro, GA

NPI number 1316796816 Active

Practice location

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500

Call (404) 365-0966 Map

Mailing address

993 Parkside Place Ave
Mcdonough, GA 30253-9094

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XRN274512 (GA)
Adult Medicine Physician Primary 207QA0505XRN274512 (GA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1316796816

Tamika Blue, FNP-BC's National Provider Identifier is 1316796816, issued on May 16, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Jonesboro, GA. The record was last updated on Oct 9, 2025.