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Jazmyn Princess Carroll Tang, ARNP
Family Nurse Practitioner in Puyallup, Washington
NPI 1184134371

Jazmyn Princess Carroll Tang is a Family Nurse Practitioner based in Tacoma, WA and is specialized in Family. Jazmyn Princess Carroll Tang practices in Puyallup, WA and has the professional credentials of ARNP. The NPI Number for Jazmyn Princess Carroll Tang is 1184134371 and holds a License No. AP60926405 (Washington).

The current practice location address for Jazmyn Princess Carroll Tang is 11025 Canyon Rd E Ste A, Puyallup, WA and can be reached out via phone at 253-548-0453.

Location: 11025 Canyon Rd E Ste A, Puyallup, WA, 98415-0299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184134371
Provider Name
Jazmyn Princess Carroll Tang
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
11025 Canyon Rd E Ste A, Puyallup, WA, 98415-0299
Phone Number
253-548-0453
Fax Number
Provider Enumeration Date
10/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11025 Canyon Rd E Ste A
City
Puyallup
State
Washington
Zip
98373-4268
Phone Number
253-548-0453
Fax Number
person
Provider Business Mailing Address Details
Address
11025 Canyon Rd E Ste A
City
Puyallup
State
Washington
Zip
98373-4268
Phone Number
253-548-0453
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60926405 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
AP60926405 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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