Individual provider · Type 1 NPI
Shavon Robin Tatum, RN, FNP-C
Nurse Practitioner · Philadelphia, PA
Practice location
3737 Market Street, 9th Floor
Philadelphia, PA 19104-5548
Fax (215) 243-4601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ14974500 (NJ) |
| Nurse Practitioner Primary | 363L00000X | SP029198 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1063274413
Shavon Robin Tatum, RN, FNP-C's National Provider Identifier is 1063274413, issued on Jan 30, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 4, 2026.