Whalio Doctors

NPI 1043910565

Jessica Denise Tatum, LCSW

Practitioner Clinical Social Worker Ridgeland, MS

Practice location

Address
665 S Pear Orchard Rd, Ridgeland, MS 39157-4861
Phone
(601) 345-1906
Mailing address
PO Box 884, Magee, MS 39111-0884

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C10503 (MS)

Registry record

NPI
1043910565
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Mar 2023
Record last updated
6 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.