Individual
JASON MATTHEW TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APN-BC, PMHNP
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
873397-01
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN0000135328
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024186428
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10006695
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5023466
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61417420
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN14483
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0100144-C-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404803-01
NY
Other
Enumeration date
03/06/2007
Last updated
04/28/2026
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