MS. TARA JO ELIZONDO PMHNP NPI 1760188502

NPI Information

NPI: 1760188502
Provider Name: MS. TARA JO ELIZONDO, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1522 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 639-2384
Get Directions

MS. Tara Jo Elizondo, PMHNP is a psychiatric/mental health nurse practitioner in Lufkin, TX with 2 years of experience. MS. Tara Jo Elizondo, PMHNP NPI is 1760188502. 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:

1522 W FRANK AVE
LUFKIN, TX
ZIP 75904-334
Phone: (936) 639-2384
Fax: (936) 639-9888

The NPI 1760188502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2023 and was last updated on 2/2/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1107727	TEXAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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