Tatum, Leslee A
Tatum, Leslee A is an individual health care provider with primary practice located at 1800 N Capitol Ave # 140 , Indianapolis IN 46202-1218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Tatum, Leslee A can be contacted via phone (317) 962-3235.Contact Information
Primary practice address
1800 N Capitol Ave # 140
Indianapolis IN 46202-1218
Phone: (317) 962-3235
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 28164251A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71004032A | Indiana |
Profile Details
NPI number | 1265794663 |
---|---|
LBN Legal business name | Tatum, Leslee A |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2012 |
Last updated | Feb 16th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265794663 | NPPES |
Indiana | MEDICAID | 201135070 |
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