Individual provider · Type 1 NPI

Amber Lea Cassandra Tarver, NP

Nurse Practitioner · Gulfport, MS

NPI number 1760093777 Active

Practice location

15190 Community Rd Ste 220
Gulfport, MS 39503-3483

Mailing address

5300 Oak Park Dr Unit 5316
Diamondhead, MS 39525-3218

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X904007 (MS)

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 1760093777

Amber Lea Cassandra Tarver, NP's National Provider Identifier is 1760093777, issued on Aug 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 12, 2020.