Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie R Tanner, ARNP

Individual provider Nurse Practitioner · NPI 1609229343

Jackie R Tanner, ARNP is a Nurse Practitioner in Panama City, Florida. Qualified in 2016, 10 years ago. Practices with Houston County Healthcare Authority, a 258-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

638 Harrison Ave Ste 102
Panama City, FL 32401-2662
Phone: (850) 558-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9208911 (FL)

Record details

NPI number1609229343
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address638 Harrison Ave Ste 102, Panama City, FL 32401-2662

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Houston County Healthcare Authority — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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