Organization
HEATHER L TATUM APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L TATUM APRN (OWNER)
(850) 209-5883
Entity
Organization
Contact information
Practice address
4215 KELSON AVE, SUITE E, MARIANNA, FL 32446
(850) 526-3434
Mailing address
4984 BUTTON LANE, MARIANNA, FL 32448
(850) 209-5883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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