JUSTIN GERALD TATTERSALL NPI 1518479104

NPI Information

Justin Gerald Tattersall is a registered nurse first assistant registered nurse in Jackson, WY. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. Justin Gerald Tattersall NPI is 1518479104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

625 E BROADWAY AVE
JACKSON, WY
ZIP 83001-642
Phone: (307) 733-3636

The enumeration date for this NPI number is 11/3/2017 and was last updated on 11/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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