Individual provider · NPI-1
Tyler Jaap, IDHS
Military Health Care Provider, Independent Duty Medical Technicians · Memphis, TN
NPI number1013638345
StatusActive
Last updated in NPPESSep 6, 2022
Details
- NPI
- 1013638345
- Entity type
- Individual (NPI-1)
- Name
- Tyler Jaap
- Credential
- IDHS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2022
- Certification date
- Sep 6, 2022
- Last updated
- Sep 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
2 Aw Willis AveMemphis, TN 38105-1502
Phone 901-521-4812
Mailing address
2 Aw Willis AveMemphis, TN 38105-1502
Phone 901-521-4812
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