Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 64049 | TN |
N | 2080P0205X | Pediatric Endocrinologist | MT215372 | PA |
NPI | 1467846949 |
---|---|
Provider Name | Jaclyn Tamaroff |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2015 |
Last Update Date | 15/09/2021 |