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

MS. Tammy Dubose, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437494630

MS. Tammy Dubose, PMHNP is a Nurse Practitioner in Waukegan, Illinois. Qualified in 2021, 5 years ago. Practices with County of Lake, a 42-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2012
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

3004 Grand Ave
Waukegan, IL 60085-2321
Phone: (401) 602-3938
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209028247 (IL)

Record details

NPI number1437494630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedNovember 29, 2012
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice County Of Lake — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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