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Individual

JOANN M TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP CRNA

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005986
FL

Other

Enumeration date
12/08/2019
Last updated
10/15/2020
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