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Individual

MISTY TATUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 207-4100
(870) 207-6581
Mailing address
6613 W GROVE DR, BARTLETT, TN 38135-5142
(719) 963-7049

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704431862
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
163029
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
235107
AR

Other

Enumeration date
03/21/2023
Last updated
04/01/2026
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