Individual
TAMMY VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5964 NORMANDY BLVD, JACKSONVILLE, FL 32205-6212
(904) 378-0121
Mailing address
203 PINE HAVEN DR, SAINT JOHNS, FL 32259-7403
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9254608
FL
Other
Enumeration date
09/18/2017
Last updated
01/16/2023
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