Kimberly Modena Tatum, NURSE PRACTITIONER

Nurse practitioner in Tyler, Texas · NPI 1518479542

Kimberly Tatum is one of 637 nurse practitioners practicing in Tyler, Texas. Kimberly Tatum practices with Tyler Family Circle Of Care.

Registry record (NPPES)

NPI
1518479542
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
4002 S Loop 256 Ste A
Palestine, TX 75801-8492
(903) 731-5030
Enumerated
Oct 31, 2017
Record last updated
Oct 21, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TN, TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.