Doctor profile · Federal record
Dr. Shavon Tatum, RN, FNP-C
Nurse Practitioner · Nurse Practitioner · Philadelphia, PA
- NPI 1063274413
- 2 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1632 Pine St
Philadelphia, PA 191036711
(215) 735-7922 - Mailing address
-
570 N 5Th St Apt 534
Philadelphia, PA 191233699
Credentials & registration
- NPI registered
- January 2024 — 2 yrs on file
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- Pennsylvania #SP029198 · New Jersey #26NJ14974500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063274413. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$46
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Exact Sciences Corporation | 1 | $24.98 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $20.99 |
By nature of payment
Frequently asked questions
What is Dr. Shavon Tatum's medical specialty?
Dr. Shavon Tatum practices Nurse Practitioner in Philadelphia, PA.
Where does Dr. Shavon Tatum practice?
Dr. Shavon Tatum practices at 1632 Pine St, Philadelphia, PA 191036711. Office phone: 2157357922.
What is Dr. Shavon Tatum's NPI?
Dr. Shavon Tatum's National Provider Identifier (NPI) is 1063274413, issued by NPPES.