MEDICARE: TINA CHAPMAN PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1074842	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-RXN.0002107-C-NP	CO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	76684	NM
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	39462	TN

General Provider Information

NPI Number	:	1952046435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA CHAPMAN PMHNP-BC

Provider Business Mailing Address
First Line	:	2261 MARKET ST STE 10222
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 MAIN ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-5801
Country	:	US
Telephone Number	:	415-360-3348
Fax Number	:

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

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	02/02/2026

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