Individual
NICOLETA M TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
140 N RICHARD JACKSON BLVD, PANAMA CITY BEACH, FL 32407
(850) 636-7000
(850) 636-7072
Mailing address
140 N RICHARD JACKSON BLVD, PANAMA CITY BEACH, FL 32407-2562
(850) 636-7000
(850) 636-7072
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9293091
FL
Other
Enumeration date
02/20/2014
Last updated
07/20/2018
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