Jordan Tanner, 95091873 RN - Nurse Practitioner in Sutter Creek, CA

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Jordan Tanner, 95091873 RN is a Nurse Practitioner - Psychiatric/mental Health based in Sutter Creek, California. Jordan Tanner is licensed to practice in California (license number 95036141) and his current practice location is 10877 Conductor Blvd Ste 300, Sutter Creek, California. He can be reached at his office (for appointments etc.) via phone at (209) 223-6412.

NPI number for Jordan Tanner is 1265255475 and his current mailing address is 10877 Conductor Blvd Ste 300, Sutter Creek, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265255475.

Contact Information

Jordan Tanner, 95091873 RN
10877 Conductor Blvd Ste 300,
Sutter Creek, CA 95685-9688
(209) 223-6412
Not Available

Map and Direction




Provider's Profile

Full NameJordan Tanner
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10877 Conductor Blvd Ste 300, Sutter Creek, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265255475
  • Provider Enumeration Date: 11/05/2024
  • Last Update Date: 01/08/2026

Medical Identifiers

Medical identifiers for Jordan Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265255475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95036141 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Tanner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Tanner, 95091873 RN
10877 Conductor Blvd Ste 300,
Sutter Creek, CA 95685-9688

Ph: (209) 223-6412		Jordan Tanner, 95091873 RN
10877 Conductor Blvd Ste 300,
Sutter Creek, CA 95685-9688

Ph: (209) 223-6412

Reviews and Comments


Nurse Practitioner Nurses in Sutter Creek, CA


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