Individual
JOSETTE MARIE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, MSN, APRN,FNP-C
Contact information
Practice address
2936 PRENTICE AVE, COLUMBIA, SC 29205-3851
(740) 701-5540
Mailing address
2936 PRENTICE AVE, COLUMBIA, SC 29205-3851
(740) 701-5540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.24752
SC
363LF0000X
Family Nurse Practitioner
APRN.CNP.0028545
OH
Other
Enumeration date
06/06/2011
Last updated
03/15/2021
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