Individual
JENNIFER ANN TANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(941) 360-1566
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 491-4023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-130109
AL
367500000X
Certified Registered Nurse Anesthetist
ARNP 9318375
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN097394-AP06199
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-130109
NURSE LICENSE
AL
01
—
ARNP 9318375
NURSE LICENSE
FL
01
—
RN097394
NURSE LICENSE
LA
Enumeration date
07/16/2010
Last updated
06/11/2019
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