Terrell, Tymber Tatum

Terrell, Tymber Tatum is an sole proprietor health care provider with primary practice located at 4289 Nw American Ln , Lake City FL 32055-4881. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Terrell, Tymber Tatum can be contacted via phone (386) 628-8008.

Contact Information

Primary practice address
4289 Nw American Ln Lake City FL 32055-4881
Phone: (386) 628-8008
Fax: (386) 200-5755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11007399 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11007399 Florida

Profile Details

NPI number 1861018988
LBN Legal business name Terrell, Tymber Tatum
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2020
Last updated Jul 19th, 2026 - about 3 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861018988 NPPES
Florida Other 1861018988 PROVIDER TYPE 1 NPI
Florida Other APRN11007399 PROVIDER TYPE 1 NPI

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