Individual provider · Type 1 NPI

Tina Gail Northup, RNC-NIC

Neonatal Nurse Practitioner · Alexandria, LA

NPI number 1609156611 Active

Practice location

211 4th St
Alexandria, LA 71301-8421

Mailing address

3403 Elliott St
Alexandria, LA 71301-4810

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000XAP06822 (LA)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1609156611

Tina Gail Northup, RNC-NIC's National Provider Identifier is 1609156611, issued on Aug 22, 2011. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Alexandria, LA. The record was last updated on Aug 23, 2025.