Jordan Tanner, 95091873 RN
NPI #1265255475 in Sutter Creek, California
Provider Information
- NPI Number
- 1265255475
- Entity Type
- Individual
- Name
- Jordan Tanner, 95091873 RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- 95091873 RN
- Enumeration Date
- Nov 5, 2024
- Last Updated
- Jan 8, 2026
Practice Location
- Address
- 10877 CONDUCTOR BLVD STE 300
- City
- Sutter Creek
- State
- California
- ZIP Code
- 95685-9688
- Phone
- (209) 223-6412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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