Individual provider · Type 1 NPI

Jerick Tan, NP

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1356842843 Active

Practice location

1500 E Duarte Road
Duarte, CA 91010

Mailing address

17952 E Edna Pl
Covina, CA 91722-3201

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X95008276 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1356842843

Jerick Tan, NP's National Provider Identifier is 1356842843, issued on Feb 21, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Nov 13, 2020.