Individual
JODY SALTERN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
721 1ST AVE S UNIT A, JAMESTOWN, ND 58401-4723
(877) 633-9110
Mailing address
721 1ST AVE S UNIT A, JAMESTOWN, ND 58401-4723
(877) 633-9110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0677
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470218
—
ND
Enumeration date
07/30/2006
Last updated
02/28/2018
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