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

Mrs. Mary Elizabeth Tullos, NP-C

Individual provider Nurse Practitioner · NPI 1639339682

Mrs. Mary Elizabeth Tullos, NP-C is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2007, 19 years ago. Practices with Family Medical Clinic of North MS Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
19
Licensed in
MS, TN
In the registry since
2008
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3451 Goodman Rd E Ste 115
Southaven, MS 38672-9304
Phone: (662) 890-5555
Fax: (662) 890-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5220 Park Ave Ste 150, Memphis, TN 38119-3548 — (901) 755-2255

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 869304 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 13240 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R869304 (MS)

Record details

NPI number1639339682
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Family Medical Clinic Of North Ms Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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