Individual provider · Type 1 NPI
Misty Tatum, NP
Critical Care Neonatal Nurse Practitioner · Jonesboro, AR
NPI number
1992407878
Active
Practice location
225 E Washington Ave
Jonesboro, AR 72401-3111
Fax (870) 207-6581
Mailing address
6613 W Grove Dr
Bartlett, TN 38135-5142
Other practice locations
- 853 Jefferson Avenue, Rout 2nd Floor, Memphis, TN 38103-2804 · (901) 866-8810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704431862 (MI) |
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | 235107 (AR) |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 163029 (TN) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
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About NPI 1992407878
Misty Tatum, NP's National Provider Identifier is 1992407878, issued on Mar 21, 2023. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Jonesboro, AR. The record was last updated on Apr 1, 2026.