Tamra Ellen St John, LVN
Licensed Vocational Nurse in Sacramento, CA. Individual provider (NPI-1).
NPI number1053919084
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1053919084
- Entity type
- Individual (NPI-1)
- Name
- Tamra Ellen St John
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2020
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 713484 | CA | Yes |
Practice location
1103 N B St Ste ESacramento, CA 95811-0326
Phone 916-378-8266
Mailing address
171 Balboa AveSan Jose, CA 95116-1310
Phone 419-260-3262
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