Individual provider · Type 1 NPI

Mary Elizabeth Tullos, NP-C

Family Nurse Practitioner · Southaven, MS

NPI number 1639339682 Active

Practice location

3451 Goodman Rd E Ste 115
Southaven, MS 38672-9304

Fax (662) 890-8899

Other practice locations

  • 5220 Park Ave Ste 150, Memphis, TN 38119-3548 · (901) 755-2255

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X13240 (TN)
Family Nurse Practitioner 363LF0000XR869304 (MS)
Family Nurse Practitioner Primary 363LF0000X869304 (MS)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1639339682

Mary Elizabeth Tullos, NP-C's National Provider Identifier is 1639339682, issued on Jun 12, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Oct 5, 2023.