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

MS. Tamara Litquinnie Mangum, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770094179

MS. Tamara Litquinnie Mangum, NP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2011, 15 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8406 Six Forks Rd Ste 104
Raleigh, NC 27615-3075
Phone: (855) 675-4144
Fax: (617) 807-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5010004 (NC)

Record details

NPI number1770094179
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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