Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA U. MABRY, FNP
ActiveTINA U. MABRY, FNP is a Family Nurse Practitioner healthcare provider located in LAKE, Mississippi. NPI 1003898859 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LAKE, MS
Registration Details
- NPI Number
- 1003898859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2005 (20.713067864725 yrs)
- Last Updated
- Nov 6, 2013
- License
-
R588199 (MS)
Practice Information
- Address
-
24489 HIGHWAY 80LAKE, MS, 390923511Browse MS providers · Browse ZIP 39092
- Phone
- 6017753264
- Fax
- 6017753097
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.