Individual
JESSICA MARIE TANNIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 MAIN ST, CONCORD, MA 01742-3829
(978) 369-5575
Mailing address
14A CARNATION CIR, READING, MA 01867-2774
(978) 697-1679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102145
MA
Other
Enumeration date
11/16/2020
Last updated
11/24/2025
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