TATUM J REYNOLDS

SPRINGFIELD, IL
NPI1992316376
Former NameTATUM J JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209021803)
Enumeration Date2020-08-11
Last Update Date2022-04-28
Business Address
TATUM J REYNOLDS APN
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
Mailing Address
TATUM J REYNOLDS APN
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100