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

Mrs. Brandi Nichole Tabor, APRN

Individual provider Nurse Practitioner · NPI 1063075752

Mrs. Brandi Nichole Tabor, APRN is a Nurse Practitioner in Fredericktown, Missouri. Qualified in 2018, 8 years ago. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

735 W Main St
Fredericktown, MO 63645-1113
Phone: (573) 783-8875
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019011374 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2019011374 (MO)

Record details

NPI number1063075752
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare