Individual provider · Type 1 NPI

Leilani Tatum, NP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1497460992 Active

Practice location

1650 W Rosedale St
Fort Worth, TX 76104-7400

Mailing address

310 Fort Edward Dr
Arlington, TX 76002-4498

Other practice locations

  • 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 · (469) 333-1543

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1107543 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1497460992

Leilani Tatum, NP's National Provider Identifier is 1497460992, issued on Jan 18, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 18, 2023.