Individual provider · Type 1 NPI

Jacob Theodore Tuttle, CRNA

Registered Nurse · Atlanta, GA

NPI number 1689489502 Active

Practice location

1520 Clifton Rd NE Ofc 117
Atlanta, GA 30322-4201

Mailing address

1967 Cobblestone Cir NE
Brookhaven, GA 30319-4906

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN292693 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1689489502

Jacob Theodore Tuttle, CRNA's National Provider Identifier is 1689489502, issued on Feb 10, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 10, 2025.