Individual
JEREMY G TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
3400 W TECUMSEH RD, 100, NORMAN, OK 73072-1810
(405) 307-6900
(405) 307-6906
Mailing address
8001 S I 35 SERVICE RD, SUITE 106, OKLAHOMA CITY, OK 73149-2906
(405) 600-6869
(405) 600-6978
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0090470
OK
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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