Individual provider · Type 1 NPI
Jacquelyn Tanis, CPNP
Pediatric Nurse Practitioner · Cleveland, OH
NPI number
1720732571
Active
Practice location
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN.CNP.0030724 (OH) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1720732571
Jacquelyn Tanis, CPNP's National Provider Identifier is 1720732571, issued on Feb 10, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cleveland, OH. The record was last updated on Nov 6, 2023.