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

Jordan Francis Tanner, MD

Individual provider Dermatopathology Physician · NPI 1538746953

Jordan Francis Tanner, MD is a Dermatology in Coeur D Alene, Idaho. Graduated from Saint Louis University School of Medicine in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Idaho.

Years since qualifying
5
Trained at
Saint Louis University School of Medicine
Licensed in
ID
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2199 N Merritt Creek Loop
Coeur D Alene, ID 83814-4949
Phone: (208) 665-7546
Show map & directions

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

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 3871694 (ID)

Record details

NPI number1538746953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2021
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare