MRS. TAMISHA SLAYTON HODUM APRN, FNP-C
NPI 1083270623
Nurse Practitioner - Family in Bolivar, TN

Active since May 18, 2019
11100 HIGHWAY 64, BOLIVAR, TN 38008(731) 228-2000 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 23, 2020, Sep 25, 2019, Jun 17, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Tamisha Slayton Hodum Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMISHA SLAYTON HODUM APRN, FNP-C (NPI 1083270623) is an individual family provider in Bolivar, Tennessee, licensed in Tennessee (26473) and active in the NPI registry since May 2019. She maintains a secondary practice location in Walnut.

NPPES Registry Identity

NPI1083270623
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TAMISHA SLAYTON HODUMCredential: APRN, FNP-C
Location Address11100 HIGHWAY 64Bolivar, TN 38008-1554
Mailing Address369 County Road 770Walnut, MS 38683-8770 · (662) 643-1457
Sole ProprietorNo
Enumeration DateMay 18, 2019
Last NPPES UpdateJanuary 23, 20204 updates tracked since enumeration
✔ NPI 1083270623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 26473✔ Licensed in MS · 903386
Also ListedRegistered NurseTaxonomy 163W00000X · License R879605 (MS)
11100 HIGHWAY 64, Bolivar, TN 38008

Secondary Practice Location 1

Location 1369 County Road 770Walnut, MS 38683-8770 · Phone (662) 643-1457

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11100 HIGHWAY 64
BOLIVAR, TN 38008
Psychiatry & Neurology (Psychiatry)
11100 HIGHWAY 64
BOLIVAR, TN 38008
Psychiatry & Neurology (Psychiatry)
11100 HIGHWAY 64
BOLIVAR, TN 38008
Psychiatry & Neurology (Psychiatry)
11100 HIGHWAY 64
BOLIVAR, TN 38008
Nurse Practitioner (Psychiatric/Mental Health)
11100 HIGHWAY 64
BOLIVAR, TN 38008
Psychiatry & Neurology (Neurodevelopmental Disabilities)
11100 HIGHWAY 64
BOLIVAR, TN 38008
Psychiatric Hospital
11100 HIGHWAY 64
BOLIVAR, TN 38008
Psychiatry & Neurology (Psychiatry)
11100 HIGHWAY 64
BOLIVAR, TN 38008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamisha Hodum's NPI number?

The NPI number for Tamisha Hodum is 1083270623. It was assigned to this individual provider in the NPPES registry on May 18, 2019.

Where is Tamisha Hodum located?

Tamisha Hodum practices at 11100 Highway 64, Bolivar, TN 38008. The listed phone number is (731) 228-2000.

What is Tamisha Hodum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tamisha Hodum was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.