MRS. TINA THIBAULT VINCENT N.P.
NPI 1508090903
Nurse Practitioner - Family in Marietta, GA

Active since May 13, 2009
4757 NETHERSTONE CT NE, MARIETTA, GA 30066(678) 494-8939(678) 264-2236 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tina Thibault Vincent N.p. NPPES

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

MRS. TINA THIBAULT VINCENT N.P. (NPI 1508090903) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN163999 NP) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1508090903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TINA THIBAULT VINCENTCredential: N.P.
Location Address4757 NETHERSTONE CT NEMarietta, GA 30066-6908
Mailing Address4757 Netherstone Ct NeMarietta, GA 30066-6908 · (678) 494-8939 · Fax (678) 264-2236
Fax(678) 264-2236
Sole ProprietorYes
Enumeration DateMay 13, 2009
NPI 1508090903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN163999 NP
4757 NETHERSTONE CT NE, Marietta, GA 30066

Other Names 1

Former Name (1)Tina Marie Thibault N.p.

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 Tina Vincent's NPI number?

The NPI number for Tina Vincent is 1508090903. It was assigned to this individual provider in the NPPES registry on May 13, 2009. The provider is also known as Tina Marie Thibault N.P..

Where is Tina Vincent located?

Tina Vincent practices at 4757 Netherstone Ct NE, Marietta, GA 30066. The listed phone number is (678) 494-8939.

What is Tina Vincent'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 Tina Vincent was last updated on May 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.