Individual
JENNIFER TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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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