Individual provider · Type 1 NPI
Sandericka Tatum, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Jacksonville, AR
NPI number
1891500922
Active
Practice location
1300 Braden St
Jacksonville, AR 72076-3719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 230744 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1891500922
Sandericka Tatum, PMHNP-BC's National Provider Identifier is 1891500922, issued on Feb 7, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jacksonville, AR. The record was last updated on May 4, 2026.