MACY TATUM LPN
NPI 1336647833
Licensed Practical Nurse in Cape Girardeau, MO

Q: What is Macy Tatum's NPI number?

The NPI number for Macy Tatum is 1336647833. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Q: What is Macy Tatum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Macy Tatum was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2018

1112 LINDEN ST, CAPE GIRARDEAU, MO 63703(573) 332-0416(573) 335-2698 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Macy Tatum Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACY TATUM LPN (NPI 1336647833) is an individual licensed practical nurse in Cape Girardeau, Missouri, licensed in Missouri (2017018173) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1336647833

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMACY TATUMCredential: LPN

Location Address1112 LINDEN STCape Girardeau, MO 63703-7707

Mailing Address340 S Broadview StCape Girardeau, MO 63703-5703 · (573) 332-0416 · Fax (573) 335-2698

Phone(573) 332-0416

Fax(573) 335-2698

Sole ProprietorNo

Enumeration DateJanuary 30, 2018

✔ NPI 1336647833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MO · 2017018173

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1112 LINDEN ST, Cape Girardeau, MO 63703

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN DAWSON LPN

Licensed Practical Nurse