DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN GERALD TATTERSALL

Active

JUSTIN GERALD TATTERSALL is a Registered Nurse First Assistant healthcare provider located in JACKSON, Wyoming. NPI 1518479104 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse First Assistant · JACKSON, WY

Registration Details

NPI Number
1518479104
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2017 (8.8010062387295 yrs)
Last Updated
Nov 3, 2017
License
30955 (WY)

Practice Information

Address
625 E BROADWAY AVE
JACKSON, WY, 830018642
Browse WY providers · Browse ZIP 83001
Phone
3077333636
Primary Specialty
Registered Nurse First Assistant
163WR0006X

Other Registered Nurse First Assistant Providers in JACKSON, WY

Name Credential NPI
MORGAN STERLING ERCANBRACK 1497647481
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.