WYATT WADE TARLTON NPI 1679319107

NPI Information

  • NPI: 1679319107
  • Provider Name: WYATT WADE TARLTON
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 10163 HIGHWAY 21 N
    PRESTON, MS
    ZIP 39354
  • Phone: (601) 504-5648

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NPI Details

Wyatt Wade Tarlton is a student in an organized health care education training program in Preston, MS. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Wyatt Wade Tarlton NPI is 1679319107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10163 HIGHWAY 21 N
PRESTON, MS
ZIP 39354-622
Phone: (601) 504-5648

The enumeration date for this NPI number is 7/3/2024 and was last updated on 7/3/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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

NPI Synchronization or Removal

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