National Provider Identifier
Jennifer Lee Tanner, P.A.
Jennifer Lee Tanner, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Depew, NY and a listed phone number of (716) 391-0937.
Profile Overview
- NPI
- 1144583295
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 22, 2012
- Last Updated
- December 02, 2020
Practice Location
- 4845 Transit RD
- Suite T06
- Depew, NY 14043-4783
Phone: (716) 391-0937
Mailing Address
- 36 Delray Ave
- West Seneca, NY 14224-1841
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1144583295
- Entity Type
- Individual
- Last Name
- Tanner
- First Name
- Jennifer
- Middle Name
- Lee
- Credential
- P.A.
- Mailing Street Address
- 36 Delray Ave
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1841
- Mailing Country
- US
- Mailing Phone
- (716) 698-5756
- Practice Street Address
- 4845 Transit RD
- Practice Address Line 2
- Suite T06
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4783
- Practice Country
- US
- Practice Phone
- (716) 391-0937
- Enumeration Date
- June 22, 2012
- Last Updated
- December 02, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)