MRS. JENNIFER HADDEN TANNER (NPI# 1710087101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710087101 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER HADDEN TANNER |
| Credential | PA-C |
| Practice Address |
1067 Peachtree St Louisville GA 30434-1558 |
| Practice Telephone | 4786257000 |
| Mailing Telephone | 4786257000 |
| Mailing Fax Number | 4786258907 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004764 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 044692615A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013488527 | Jennifer Victoria Tanner | Physical Therapy Assistant | 1810 11th St, Bremerton, WA 98337-1113 | 2018-12-09 |
| 1316417827 | Jennifer Tanner | Counselor | 216 James St, Seattle, WA 98104-5102 | 2018-11-27 |
| 1144583295 | Jennifer Lee Tanner | Physician Assistant | 4845 Transit Rd, Suite T06, Depew, NY 14043-4783 | 2012-06-22 |
| 1699925347 | Jennifer Lynn Tanner | Social Worker | 250 Cushman St Ste 4f, Fairbanks, AK 99701-4665 | 2008-09-30 |
| 1104011204 | Jennifer Marlene Tanner | Massage Therapist | 610 N Mission St Ste 102, Wenatchee, WA 98801-2065 | 2007-09-11 |
| 1215998554 | Jennifer Tanner | Physician Assistant | 175 Lancaster Blvd, Mechanicsburg, PA 17055 | 2006-03-28 |
| Street Address |
1067 PEACHTREE ST |
| City | LOUISVILLE |
| State | GA |
| Zip Code | 30434-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760420202 | Andrea Byrd Doak | Physician Assistant | 1067 Peachtree St, Louisville, GA 30434 | 2006-06-04 |
| 1417554437 | Hospital Authority of Jefferson County and The City of Louisville | General Acute Care Hospital | 1067 Peachtree St, Louisville, GA 30434-1558 | 2020-10-02 |
| 1699140079 | Catherine Mary Russell | Physical Therapy Assistant | 1067 Peachtree St, Louisville, GA 30434-1558 | 2015-12-10 |
| 1457726861 | Brooke Taylor Morris | Occupational Therapy Assistant | 1067 Peachtree St, Louisville, GA 30434-1558 | 2015-12-10 |
| 1588096366 | Hospital Authority of Jefferson County and The City of Louisville | Emergency Medicine | 1067 Peachtree St, Louisville, GA 30434-1558 | 2013-08-05 |
| 1467884593 | Erin Grace Nobles | Nurse Practitioner | 1067 Peachtree St, Louisville, GA 30434-1558 | 2013-07-31 |
| 1265875298 | Rhonda Hall Strickland | Physical Therapist | 1067 Peachtree St, Louisville, GA 30434-1558 | 2013-04-09 |
| 1043571706 | Nina Ashlee Weeks-arrington | Occupational Therapist | 1067 Peachtree St, Louisville, GA 30434-1558 | 2012-05-30 |
| 1245590793 | Samuel George Franklin | Internal Medicine | 1067 Peachtree St, Louisville, GA 30434-1599 | 2012-05-17 |
| 1811153588 | Ogeechee Valley Emergency Physicians | Emergency Medicine | 1067 Peachtree St, Louisville, GA 30434-1558 | 2008-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255503934 | Tonya M Gunby Dmd PC | Dentist | 502 Screven Street, Louisville, GA 30434 | 2008-04-02 |
| 1023187564 | Bobbie W. Jones | Registered Nurse | 2501 Hwy 1 N, Louisville, GA 30434 | 2006-11-07 |
| 1083797898 | Catherine Cates Rabun | Registered Nurse | 2501 U. S. Hwy 1 N, Louisville, GA 30434 | 2006-10-23 |
| 1659461028 | Shirlee T. Johnson | Registered Nurse | 2501highway 1 N, Louisville, GA 30434 | 2006-10-13 |
| 1033209572 | Janet Raines Pilcher | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-13 |
| 1205889623 | Jefferson County Board of Health | Public Health or Welfare | 2501 U.S. Highway # 1 North, Louisville, GA 30434 | 2006-05-18 |
| 1467631648 | Kimberly J Clarkbrake | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2007-10-24 |
| 1114003241 | Mary Ellen Chalker | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-31 |
| 1376787499 | Positive Choice...a Step In The Right Direction | Community/Behavioral Health | 480 Forrest Dr, Louisville, GA 30434-1348 | 2009-04-21 |
| 1255623385 | The Louisville Project, LLC | Durable Medical Equipment & Medical Supplies | 819 Peachtree St, Louisville, GA 30434-1449 | 2011-05-09 |
| Find all providers in zip 30434 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1184247231 | Jeremiah Noe | Physician Assistant | 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 | 2020-05-23 |
| 1598388894 | Amanda Marie Hafner | Physician Assistant | 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 | 2020-05-20 |
| 1205487170 | Kenneth D Morrison | Physician Assistant | 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 | 2019-09-23 |
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1760955546 | Benjamin Charles Askins | Physician Assistant | 7906 New La Grange Rd, Louisville, KY 40222-4718 | 2019-01-04 |
| 1770066292 | Molly Roberson Comprehensive Surgical Assistance Pllc | Physician Assistant | 1064 Eastern Pkwy, Louisville, KY 40217-1532 | 2018-09-11 |
| 1598246860 | Kelsi J Barnes | Physician Assistant | 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 | 2018-08-24 |
| 1174009930 | Faun Ellwood-digel | Physician Assistant | 275 W Walnut St, Louisville, CO 80027-2295 | 2018-07-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 30434 |
Please comment or provide details below to improve the information on MRS. JENNIFER HADDEN TANNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.