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Tahtionna Brown

NPI 1407667322ActiveIndividual· Nurse Practitioner· Mooresville, NC

Nurse Practitioner in Mooresville, North Carolina, licensed in NC, with an NPI issued in January 2025. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1407667322
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 20, 2025
Last updated in NPPESAug 5, 2026
Certified by providerAug 5, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X5024417NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NC)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Mooresville

All Nurse Practitioner providers in North Carolina →