Individual
JENNIFER TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
3709 MAGNOLIA ST, ORANGEBURG, SC 29118-1403
(803) 531-2220
(803) 531-7975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60770461
WA
207RN0300X
Nephrology Physician
34355
SC
207RN0300X
Nephrology Physician
Primary
MD60770461
WA
Other
Enumeration date
07/21/2011
Last updated
05/16/2025
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