Individual
MS. JILL M. TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6150 DIAMOND CENTRE CT, SUITE 1300, FORT MYERS, FL 33912-4367
(239) 344-9786
(239) 344-9215
Mailing address
28608 SAN LUCAS LN, UNIT 102, BONITA SPRINGS, FL 34135-8312
(203) 895-9680
(239) 344-9215
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
003903
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9430928
FL
Other
Enumeration date
09/24/2008
Last updated
10/19/2016
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