Ms. Mary E Tatum
Nurse Practitioner Nurse Practitioner - Critical Care Medicine
4500 San Pablo Rd S
Jacksonville
, Florida 32224-1865
Ms. Mary E Tatum
Nurse Practitioner Nurse Practitioner - Critical Care Medicine
4500 San Pablo Rd S
Jacksonville
, Florida 32224-1865
(904) 953-2000
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Ms. Mary E Tatum
- 4500 San Pablo Rd S
- Jacksonville, FL
- Zip : 32224-1865
- Phone : (904) 953-2000
Second Address
- Ms. Mary E Tatum
- 4500 San Pablo Rd S
- Jacksonville, FL
- Zip : 32224-1865
- Phone : (904) 953-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11005295 | FL |
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5007226 | NC |
National Provider Identifier
| NPI | 1013253871 |
|---|---|
| Provider Name | Ms. Mary E Tatum |
| First Address | Jacksonville, FL 32224-1865 |
| Second Address | Jacksonville, FL 32224-1865 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2012 |
| Last Update Date | 02/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.