Individual provider · Type 1 NPI

Matthew Jason Tanner

Psychiatric/Mental Health Nurse Practitioner · Logansport, IN

NPI number 1396395067 Active

Practice location

1015 Michigan Ave
Logansport, IN 46947-1526

Mailing address

3203 Susan Dr
Kokomo, IN 46902-7506

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X28177692A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396395067

Matthew Jason Tanner's National Provider Identifier is 1396395067, issued on Sep 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Logansport, IN. The record was last updated on Sep 16, 2019.