Jerick Tan, NP Valid NPI

Individual provider · Gerontology Nurse Practitioner · Duarte, CA

NPI

1356842843

Type

Individual (Type 1)

Primary specialty

Gerontology Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LG0600X

License number

95008276 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2018-02-21

Last updated

2020-11-13