Individual
DR. TATUM LEE SEVERINO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(888) 398-1151
Mailing address
8819 THREE CHIMNEYS DR E, GERMANTOWN, TN 38138-8206
(662) 934-7227
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
27957
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
904285
MS
Other
Enumeration date
09/14/2020
Last updated
11/17/2023
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