Provider Demographics
NPI:1235943341
Name:REUS, TAMMY NICOLE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:NICOLE
Last Name:REUS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 BIENVILLE BLVD STE F1
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3076
Mailing Address - Country:US
Mailing Address - Phone:228-818-1850
Mailing Address - Fax:
Practice Address - Street 1:2112 BIENVILLE BLVD STE F1
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3076
Practice Address - Country:US
Practice Address - Phone:228-818-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS896757163WP0200X
AL3-002196363LF0000X
MS907291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics