Individual
MR. JERRY RAY TAPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
4437 STATE ROUTE 159, SUITE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-4570
(740) 779-4579
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
07968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2774476
—
OH
Enumeration date
04/24/2007
Last updated
12/16/2020
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