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

Shavon Robin Tatum, RN, FNP-C

Individual provider Nurse Practitioner · NPI 1063274413

Shavon Robin Tatum, RN, FNP-C is a Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2024.

Licensed in
NJ, PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

3737 Market Street 9th Fl
Philadelphia, PA 19104-5548
Phone: (215) 662-8777
Fax: (215) 243-4601
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP029198 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ14974500 (NJ)

Record details

NPI number1063274413
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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