Griffin, Jackie Tanner
Griffin, Jackie Tanner is an individual health care provider with primary practice located at 3803 N Elm St , Greensboro NC 27455-2593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Griffin, Jackie Tanner can be contacted via phone (336) 540-7075.Contact Information
Primary practice address
3803 N Elm St
Greensboro NC 27455-2593
Phone: (336) 540-7075
Fax: (888) 882-3919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 900292 | North Carolina |
Profile Details
| NPI number | 1316922339 |
|---|---|
| LBN Legal business name | Griffin, Jackie Tanner |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jun 8th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316922339 | NPPES |
| Other | 2328528 | UNITED HEALTHCARE |
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