NICOLETA M TATUM


Address: 140 N Richard Jackson Blvd, Panama City Beach, FL 32407
Phone: 8506367000

NICOLETA M TATUM (NPI# 1447675988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447675988
Entity Type Individual
Full Name NICOLETA M TATUM
Credential ARNP
Practice Address 140 N Richard Jackson Blvd
Panama City Beach
FL 32407
Mailing Address 140 N Richard Jackson Blvd
Panama City Beach
FL 32407-2562
Practice Telephone 8506367000
Practice Fax Number 8506367072
Mailing Telephone 8506367000
Mailing Fax Number 8506367072
Enumeration Date 2014-02-20
Last Update Date 2018-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9293091 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 N Main St, Chattahoochee, FL 323241107 8506637807

Office Location

Street Address 140 N RICHARD JACKSON BLVD
City PANAMA CITY BEACH
State FL
Zip Code 32407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235637497 Beach Midway Med Express Internal Medicine 11038 Hutchison Blvd, Panama City, FL 32407 2018-01-23
1225497365 Shae Nicole Luster Counselor 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 2016-02-17
1528482361 Best Care Home Health of Panama City LLC Home Health 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 2014-02-14
1134463482 Panhandle Orthopaedics LLC Pediatrics 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 2012-11-26
1215296983 Jennifer Lynn Holloran Speech-Language Pathologist 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 2012-05-15
1295043248 Candida Jill Pratt Massage Therapist 10200 Clarence St., Suite B, Panama City Beach, FL 32407 2010-09-23
1326275843 Richard Lee Giffin Registered Nurse 1625 Vecuna Cir, Panama City Beach, FL 32407 2009-06-11
1649455726 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 2008-01-08
1891915740 Cambridge Carruth Physical Therapist 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 2007-04-25
1497885180 Guy Alvin Crawford Physician Assistant 11111 Highway 98 East, Panama City Beach, FL 32407 2007-03-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538174396 Christine C Bethea Nurse Practitioner 4408 Delwood Ln, Panama City Beach, FL 32408-7492 2006-07-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1457950107 Janet Rosemarie Walker Nurse Practitioner 9988 Sw 38th Ave, Ocala, FL 34476-4082 2020-10-23
1104425800 Vijayalakshmi Kumaraguru Nurse Practitioner 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 2020-10-22
1356940217 Smitha Ajesh Nurse Practitioner 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 2020-10-21
1457959066 Kecia Hicks Nurse Practitioner 691 Institution Rd, Defuniak Springs, FL 32433-1850 2020-10-15
1699372003 Rosie Michel Nurse Practitioner 13000 Ne 12th Ave, North Miami, FL 33161-4305 2020-10-08
1952908352 Karen Weinstock Nurse Practitioner 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 2020-10-08
1396342754 Pamela Ziel Nurse Practitioner 545 Lakeside Cir, Sunrise, FL 33326-2136 2020-10-07
1922615608 Urszula Dorfman Nurse Practitioner 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 2020-09-28
1073129136 Karen Harris Nurse Practitioner 28211 Church Rd, Brooksville, FL 34602-6232 2020-09-23
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Competitor

Search similar providers

City PANAMA CITY BEACH
Zip Code 32407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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