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

Misty Tatum, NP

Individual provider Nurse Practitioner · NPI 1992407878

Misty Tatum, NP is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Arkansas, Michigan and Tennessee.

Years since qualifying
4
Licensed in
AR, MI, TN
In the registry since
2023
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone: (870) 207-4100
Fax: (870) 207-6581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 853 Jefferson Avenue, Memphis, TN 38103-2804 — (901) 866-8810

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 235107 (AR)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704431862 (MI)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence 163029 (TN)

Record details

NPI number1992407878
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address6613 W Grove Dr, Bartlett, TN 38135-5142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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