Individual
MR. JERRY RAY TAPP JR.
Active
Individual
MR. JERRY RAY TAPP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
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
Update your record
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