Tanner, Jackie R

Tanner, Jackie R is an individual health care provider with primary practice located at 638 Harrison Ave Ste 102 , Panama City FL 32401-2662. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tanner, Jackie R can be contacted via phone (850) 558-4400.

Contact Information

Primary practice address
638 Harrison Ave Ste 102 Panama City FL 32401-2662
Phone: (850) 558-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9208911 Florida

Profile Details

NPI number 1609229343
LBN Legal business name Tanner, Jackie R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Mar 12th, 2024 - about 2 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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