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

Jerry Tam

Individual provider Registered Nurse · NPI 1912392994

Jerry Tam is a Registered Nurse in Phoenix, Arizona. Licensed in Arizona and Hawaii. Registered with an NPI since 2015.

Licensed in
AZ, HI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN184402 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN49694 (HI)

Record details

NPI number1912392994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 6, 2015
Mailing address671 W Rattlesnake Pl, Casa Grande, AZ 85122-6604

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