Individual
JAMESE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, QMHP
Contact information
Practice address
9401 COURTHOUSE RD, CHESTERFIELD, VA 23832-6690
(804) 616-4378
(804) 451-4586
Mailing address
PO BOX 2947, CHESTERFIELD, VA 23832-9118
(804) 616-4378
(804) 451-4586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
133V00000X
Registered Dietitian
Primary
—
VA
Other
Enumeration date
06/28/2024
Last updated
10/08/2025
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