Individual
JENNIFER H TASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-4617
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-4617
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48883
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001027842
ANTHEM - NCHMA
KY
05
—
201304920
—
IN
01
—
217841
SIHO - NCHMA
KY
01
—
50112686
PASSPORT - NCHMA
KY
05
—
7100415590
—
KY
Enumeration date
04/16/2013
Last updated
10/27/2020
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