MEDICARE: TAMARA DUDLEY MACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-118454	AL

General Provider Information

NPI Number	:	1750919635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA DUDLEY MACK

Provider Business Mailing Address
First Line	:	3802 BISCAYNE HILLS DR
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-2437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3802 BISCAYNE HILLS DR
Second Line	:
City	:	NORTHPORT
State	:	AL
Zip	:	35473-2437
Country	:	US
Telephone Number	:	205-292-8555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2020
Last Update Date	:	05/26/2026

Similar Medicare Providers

1265360606 — MISS SARAH GRACE SHERBERT PT
Practice Location Address:

4280 WATERMELON RD STE 113
NORTHPORT, AL
35473-5250

Practice Phone: 205-349-2525
Practice Fax: 205-349-2925

1750471041 — LISA SAFF GONZENBACH MSW
Practice Location Address:

3600 WATERMELON RD , SUITE 202
NORTHPORT, AL
35473-5169

Practice Phone: 205-750-0181
Practice Fax: 205-348-2401

1265189617 — SARAH TARNAKOW COUNSELING AND CONSULTING, LLC
Practice Location Address:

730 ENERGY CENTER BLVD STE 1402A
NORTHPORT, AL
35473-5814

Practice Phone: 205-616-2218
Practice Fax:

1649274499 — MR. TIMOTHY MICHAEL ROWLAND RPH
Practice Location Address:

4373 NORTHCREEK BLVD
NORTHPORT, AL
35473-2171

Practice Phone: 205-391-3636
Practice Fax:

1982601423 — MICHAEL R. BARLOW M.D.
Practice Location Address:

4112 WATERMELON RD
NORTHPORT, AL
35473

Practice Phone: 205-710-3800
Practice Fax:

1518966159 — PHILLIP R JENKINS RPH
Practice Location Address:

12740 COUNTRY LN
NORTHPORT, AL
35473-7224

Practice Phone: 205-345-0785
Practice Fax: 205-330-2430

Directions to “ TAMARA DUDLEY MACK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.