Individual
JEROME ANTHONY TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 620-5045
(504) 568-6647
Mailing address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 620-5045
(504) 568-6647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
081771
LA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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