Individual provider · Type 1 NPI

Tara Jo Elizondo, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Lufkin, TX

NPI number 1760188502 Active

Practice location

1522 W Frank Ave
Lufkin, TX 75904-3334

Fax (936) 639-9888

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1107727 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760188502

Tara Jo Elizondo, PMHNP's National Provider Identifier is 1760188502, issued on Feb 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lufkin, TX. The record was last updated on Feb 2, 2023.