Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tenikqua Fullwood-Maple, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1932059888

Mrs. Tenikqua Fullwood-Maple, PMHNP-BC is a Nurse Practitioner in Sumter, South Carolina. Qualified in 2025, 1 year ago. Practices with Tandem Health SC, a 32-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1278 N Lafayette Dr
Sumter, SC 29150-2964
Phone: (803) 774-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 31415 (SC)

Record details

NPI number1932059888
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tandem Health Sc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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