Jordan Tanner, 95091873RN
Jordan Tanner, 95091873RN is a Nurse Practitioner in Sutter Creek, California. Qualified in 2025, 1 year ago. Practices with County of Amador, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 1
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
10877 Conductor BlvdSutter Creek, CA 95685-9682
Phone: (209) 223-6412
Fax: (209) 223-0920
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1013 Fairway Dr, Ione, CA 95640-5400 — (925) 732-1901
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95036141 (CA) |
|---|
Record details
| NPI number | 1265255475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | 95091873RN |
| Sole proprietor | No |
| NPI enumerated | November 5, 2024 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | County Of Amador — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |