Blake, Tanner Jameson

Blake, Tanner Jameson is an individual health care provider with primary practice located at 3501 Cedar Bay Ct Apt 738 , Henrico VA 23233-0203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blake, Tanner Jameson can be contacted via phone (435) 218-1198.

Contact Information

Primary practice address
3501 Cedar Bay Ct Apt 738 Henrico VA 23233-0203
Phone: (435) 218-1198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1811578214
LBN Legal business name Blake, Tanner Jameson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2021
Last updated Apr 16th, 2021 - about 4 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.

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