Provider Demographics
NPI:1366969230
Name:JARROUS, TAMARA LYN (PMHNP)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:LYN
Last Name:JARROUS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1901 MEDI PARK DR STE 2058
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2109
Mailing Address - Country:US
Mailing Address - Phone:806-354-9540
Mailing Address - Fax:806-354-9588
Practice Address - Street 1:1901 MEDI PARK DR STE 2058
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2109
Practice Address - Country:US
Practice Address - Phone:806-354-9540
Practice Address - Fax:806-354-9588
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX92754363LP0808X
TXAP120557363LP0808X
TX1163261363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health