person
Kimberly Modena Tatum, NURSEPRACTITIONER
Family Nurse Practitioner in Palestine, Texas
NPI 1518479542

Kimberly Modena Tatum is a Family Nurse Practitioner based in Palestine, TX and is specialized in Family. Kimberly Modena Tatum practices in Palestine, TX and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kimberly Modena Tatum is 1518479542 and holds a License No. AP136159 (Texas).

The current practice location address for Kimberly Modena Tatum is 4002 S Loop 256 Ste A, Palestine, TX and can be reached out via phone at 903-731-5030 and via fax at 903-731-5037.

Location: 4002 S Loop 256 Ste A, Palestine, TX, 75801-8492
person
Provider Profile Details
NPI Number
1518479542
Provider Name
Kimberly Modena Tatum
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
4002 S Loop 256 Ste A, Palestine, TX, 75801-8492
Phone Number
903-731-5030
Fax Number
903-731-5037
Provider Enumeration Date
10/31/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
4002 S Loop 256 Ste A
City
State
Zip
75801-8492
Phone Number
903-731-5030
Fax Number
903-731-5037
person
Provider Business Mailing Address Details
Address
4002 S Loop 256 Ste A
City
State
Zip
75801-8492
Phone Number
903-731-5030
Fax Number
903-731-5037
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP136159 (Texas)
Definition
Definition to come...
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