Jennifer Lee Tanner, P.A.

NPI #1144583295 in Depew, New York

Provider Information

NPI Number: 1144583295
Entity Type: Individual
Name: Jennifer Lee Tanner, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 22, 2012
Last Updated: Dec 2, 2020

Practice Location

Address: 4845 TRANSIT RD
Address 2: SUITE T06
City: Depew
State: New York
ZIP Code: 14043-4783
Phone: (716) 391-0937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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