Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TUYEN PHAN NP
NPI 1174456560
Nurse Practitioner in Cartersville, GA

Q: What is Tuyen Phan's NPI number?

The NPI number for Tuyen Phan is 1174456560. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Q: What is Tuyen Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tuyen Phan was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since June 04, 2026

960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120(470) 490-2142 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Jun 4, 2026 (2 updates tracked since 2026).

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About Tuyen Phan Np NPPES

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

TUYEN PHAN NP (NPI 1174456560) is an individual nurse practitioner in Cartersville, Georgia, licensed in Georgia (APRN-NP715003) and active in the NPI registry since June 2026. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1174456560

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTUYEN PHANCredential: NP

Location Address960 JOE FRANK HARRIS PKWY SECartersville, GA 30120-2129

Mailing Address1862 Lenore DrTacoma, WA 98406-1920 · (253) 651-5777

Phone(470) 490-2142

Sole ProprietorNo

Enumeration DateJune 4, 2026

Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1174456560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · APRN-NP715003

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN-NP715003 (GA)

960 JOE FRANK HARRIS PKWY SE, Cartersville, GA 30120

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Secondary Practice Location 1

Location 11862 Lenore DrTacoma, WA 98406-1920 · Phone (253) 651-5777

Other Providers at the Same Location NPPES 20

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

MRS. QUYEN LE TA NP

Nurse Practitioner