Provider Demographics
NPI:1316158900
Name:TAPPS, BARBARA L (FNP)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:L
Last Name:TAPPS
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 GRAND OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-6040
Mailing Address - Country:US
Mailing Address - Phone:601-335-8600
Mailing Address - Fax:240-219-3126
Practice Address - Street 1:4490 HIGHWAY 80 E STE A
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-4206
Practice Address - Country:US
Practice Address - Phone:601-335-8600
Practice Address - Fax:240-219-3126
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS856470363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09471531Medicaid