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KATHLEEN TINNEL C.P.N.P.
NPI 1952434920
Nurse Practitioner - Pediatrics in Clarksdale, MS

Active since March 13, 2007
2245 N STATE ST, CLARKSDALE, MS 38614(662) 627-4131(662) 627-2702 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Tinnel C.p.n.p. NPPES

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

KATHLEEN TINNEL C.P.N.P. (NPI 1952434920) is an individual pediatrics provider in Clarksdale, Mississippi, licensed in Mississippi (R861078) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1952434920
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN TINNELCredential: C.P.N.P.
Location Address2245 N STATE STClarksdale, MS 38614
Mailing AddressPo Box 1447Clarksdale, MS 38614-1447 · (662) 627-4131 · Fax (662) 627-2702
Phone(662) 627-4131
Fax(662) 627-2702
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952434920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MS · R861078
2245 N STATE ST, Clarksdale, MS 38614
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Other Identifiers 1

Medicaid00122474MS

Other Providers at the Same Location NPPES 4

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

MARGARET CHANDLER LEWIS NP
Nurse Practitioner
2245 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-4131
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
Pediatrics
2245 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 624-4292
PEGGY J WELLS M.D.
Pediatrics
2245 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-4131
TARA DAVIS F.N.P.
Nurse Practitioner (Family)
2245 N STATE ST
CLARKSDALE, MS 38614
Coahoma County (662) 627-4131

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 Kathleen Tinnel's NPI number?

The NPI number for Kathleen Tinnel is 1952434920. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Kathleen Tinnel located?

Kathleen Tinnel practices at 2245 N State St, Clarksdale, MS 38614. The listed phone number is (662) 627-4131.

What is Kathleen Tinnel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Tinnel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.