Individual provider · Type 1 NPI
Jenay Tatum
Critical Care Medicine Registered Nurse · New York, NY
NPI number
1780255653
Active
Practice location
560 W 168th St
New York, NY 10032-3917
Mailing address
2300 W Skyline Rd
Glendale, WI 53209-2176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 666758 (NY) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1780255653
Jenay Tatum's National Provider Identifier is 1780255653, issued on Jul 1, 2021. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in New York, NY. The record was last updated on Jul 1, 2021.