4JS LLC

Registered Nurse First Assistant · Jackson, WY

Organization Active NPI

NPI number 1144732736

Practice location

625 E Broadway Ave
Jackson, WY 83001-8642
Phone
(307) 733-2443
Fax
(307) 733-6912

Open in Google Maps

NPI record

NPI
1144732736
Entity type
Organization (Type 2)
Enumeration date
November 3, 2017
Last updated
October 17, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse First Assistant Primary 163WR0006X 30955 WY

Mailing address

PO Box 9871
Jackson, WY 83002-9871

Authorized official

Name
Justin Tattersall
Title
President
Phone
(307) 413-0437

Other practice locations (1)

  • 7170 N Rachel Way, Jackson, WY 83001-8039 · (307) 413-0437

About 4JS LLC

4JS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Registered Nurse First Assistant (code 163WR0006X). The practice location is 625 E Broadway Ave, Jackson, WY 83001-8642. The NPI number 1144732736 was assigned on November 3, 2017 and the record was last updated on October 17, 2018.

4JS LLC lists a license in the registry: #30955 (WY) for Registered Nurse First Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Justin Tattersall, President.

Frequently asked questions

What is the NPI number of 4JS LLC?

The NPI number is 1144732736.

What is the phone number of 4JS LLC?

The phone number listed for the practice location is (307) 733-2443.

Where is 4JS LLC located?

625 E Broadway Ave, Jackson, WY 83001-8642.

What is the taxonomy code for 4JS LLC?

The primary taxonomy code is 163WR0006X – Registered Nurse First Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Nurse First Assistant providers in Jackson

All Registered Nurse First Assistant providers in Jackson, WY →