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Jennifer M Tandoc
Family Nurse Practitioner in Dayton, Ohio
NPI 1508898172

Jennifer M Tandoc is a Family Nurse Practitioner based in Jackson, OH and is specialized in Family. Jennifer M Tandoc practices in Dayton, OH. The NPI Number for Jennifer M Tandoc is 1508898172 and holds a License No. 3003193 (Ohio).

The current practice location address for Jennifer M Tandoc is 6125 N Main St, Dayton, OH and can be reached out via phone at 731-394-1145.

Location: 6125 N Main St, Dayton, OH, 38305-5514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508898172
Provider Name
Jennifer M Tandoc
Credential
Provider Entity Type
Individual
Gender
Female
Address
6125 N Main St, Dayton, OH, 38305-5514
Phone Number
731-394-1145
Fax Number
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78003720 05 KY
P00847802 01 KY RAILROAD MEDICARE
500012750 01 KY RAILROAD MEDICARE
3088224 05 OH
institution
Provider Business Practice Location Address Details
Address
6125 N Main St
City
Dayton
State
Ohio
Zip
45415-3110
Phone Number
731-394-1145
Fax Number
person
Provider Business Mailing Address Details
Address
6125 N Main St
City
Dayton
State
Ohio
Zip
45415-3110
Phone Number
731-394-1145
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN.CNP.06859 (Ohio)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3003193 (Kentucky)
Definition
Definition to come...
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