Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Stephens Tatum, PA

Individual provider Physician Assistant · NPI 1467978403

Mallory Stephens Tatum, PA is a Physician Assistant in Lakeland, Tennessee. Works from 11 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

9160 Highway 64 Ste 105
Lakeland, TN 38002-3011
Phone: (901) 213-0100
Fax: (901) 213-0101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 255 Baptist Blvd Ste 401, Columbus, MS 39705-2006 — (662) 244-2288
  • 2301 S Lamar Blvd Ste 140, Oxford, MS 38655-5373 — (662) 513-3246
  • 100 Baptist Memorial Cir Ste 200, Oxford, MS 38655-4476 — (662) 513-3246
  • 7736 Airways Blvd, Southaven, MS 38671-5306 — (662) 772-5222
  • 401 Southcrest Cir Ste 201, Southaven, MS 38671-6721 — (901) 226-0456
  • 2550 Parr Ave, Dyersburg, TN 38024-2033 — (731) 325-5678
  • 2550 Parr Ave, Dyersburg, TN 38024-2033 — (731) 325-5678
  • 7600 Wolf River Blvd, Germantown, TN 38138 — (901) 747-1000
  • 9160 Highway 64 Ste 105, Lakeland, TN 38002-3011 — (901) 213-0100
  • 6029 Walnut Grove Rd Ste 305, Memphis, TN 38120-2155 — (901) 226-0533

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3352 (TN)

Record details

NPI number1467978403
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2017
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020