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

Mrs. Tara B Enlow, CFNP

Individual provider Family Nurse Practitioner · NPI 1336266550

Mrs. Tara B Enlow, CFNP is a Nurse Practitioner in Fulton, Mississippi. Qualified in 2002, 24 years ago. Practices with Express Care of Fulton, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

204 Interchange Dr
Fulton, MS 38843-6011
Phone: (662) 862-9040
Fax: (662) 409-2102
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R860076 (MS)

Record details

NPI number1336266550
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Express Care Of Fulton — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fulton