Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMARA PITTMAN-JOHNSON
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1154994275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2021 (4.7965263881787 yrs)
- Last Updated
- Jul 19, 2021
- License
-
855820 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1019 WORTHINGTON DRSOUTHAVEN, MS, 386715317Browse MS providers · Browse ZIP 38671
- Phone
- 9014945175
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.