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

Tanya Waddle Land, APRN-NP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1841625233

Tanya Waddle Land, APRN-NP, FNP-C is a Nurse Practitioner in Carrollton, Missouri. Qualified in 2013, 13 years ago. Practices with Jefferson Medical Group, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1502 N Jefferson St
Carrollton, MO 64633-1948
Phone: (660) 542-1695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2013032494 (MO)

Record details

NPI number1841625233
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-NP , FNP-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jefferson Medical Group — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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