Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Codi Hallmark

Individual provider Family Nurse Practitioner · NPI 1619305687

Codi Hallmark is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2013

Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-2539
Fax: (662) 377-2920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R892795 (MS)

Record details

NPI number1619305687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2013
Last updated in NPPESOctober 29, 2013
Mailing address830 S Gloster St, Tupelo, MS 38801-4934

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Tupelo