Jackie R. Tanner, ARNP

Nurse Practitioner · Panama City, FL

Individual Active NPI

NPI number 1609229343

Practice location

638 Harrison Ave Ste 102
Panama City, FL 32401-2662
Phone
(850) 558-4400

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NPI record

NPI
1609229343
Entity type
Individual (Type 1)
Enumeration date
July 18, 2016
Last updated
March 12, 2024
Certified
March 12, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APRN9208911 FL

About Jackie Tanner

Jackie R. Tanner, ARNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 638 Harrison Ave Ste 102, Panama City, FL 32401-2662. The NPI number 1609229343 was assigned on July 18, 2016 and the record was last updated on March 12, 2024.

Jackie Tanner lists a license in the registry: #APRN9208911 (FL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackie R. Tanner, ARNP?

The NPI number is 1609229343.

What is the phone number of Jackie Tanner?

The phone number listed for the practice location is (850) 558-4400.

Where is Jackie Tanner located?

638 Harrison Ave Ste 102, Panama City, FL 32401-2662.

What is the taxonomy code for Jackie Tanner?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

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.

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