MRS. TINA MILAM RNP NPI 1255523908

NPI Information

  • NPI: 1255523908
  • Provider Name: MRS. TINA MILAM, RNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4508 STADIUM BLVD
    JONESBORO, AR
    ZIP 72404
  • Phone: (870) 933-6886

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NPI Details

MRS. Tina Milam, RNP is a psychiatric/mental health nurse practitioner in Jonesboro, AR. MRS. Tina Milam, RNP NPI is 1255523908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4508 STADIUM BLVD
JONESBORO, AR
ZIP 72404-675
Phone: (870) 933-6886
Fax: (870) 933-9395

The enumeration date for this NPI number is 8/16/2007 and was last updated on 5/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthPO1491ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15T284MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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