Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD052777L | PA |
N | 111NI0900X | Internist | MD052777L | PA |
Y | 207RH0002X | Hospice and Palliative Medicine | MD052777L | PA |
NPI | 1235108382 |
---|---|
Provider Name | Dr. Jane Kendall Tuller |
First Address | Doylestown, PA 18901-2554 |
Second Address | Doylestown, PA 18901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 16/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01479992 | (05) | PA |
F51990 | (02) |