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TSHIALA BUPOLA PMHNP
NPI 1770151862
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since June 15, 2021
2924 VICKSBURG LN, FORT WORTH, TX 76123(518) 491-9384 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tshiala Bupola Pmhnp NPPES

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

TSHIALA BUPOLA PMHNP (NPI 1770151862) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1044102) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1770151862
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTSHIALA BUPOLACredential: PMHNP
Location Address2924 VICKSBURG LNFort Worth, TX 76123-1627
Mailing Address2924 Vicksburg LnFort Worth, TX 76123-1627 · (518) 491-9384
Phone(518) 491-9384
Sole ProprietorYes
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1770151862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1044102
2924 VICKSBURG LN, Fort Worth, TX 76123
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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 Tshiala Bupola's NPI number?

The NPI number for Tshiala Bupola is 1770151862. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Tshiala Bupola located?

Tshiala Bupola practices at 2924 Vicksburg Ln, Fort Worth, TX 76123. The listed phone number is (518) 491-9384.

What is Tshiala Bupola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tshiala Bupola was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.