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

Lum Emelda Tchi-Atabong

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104279173

Lum Emelda Tchi-Atabong is a Nurse Practitioner in Taylor, Michigan. Qualified in 2024, 2 years ago. Licensed in Michigan and Texas.

Years since qualifying
2
Licensed in
MI, TX
In the registry since
2016
Specialties on file
2

Practice location Address checks out

12239 Pine St
Taylor, MI 48180-4012
Phone: (313) 917-8304
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1035133 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 4704322603 (MI)

Record details

NPI number1104279173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Taylor