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

Justin Gerald Tattersall

Individual provider Registered Nurse First Assistant · NPI 1518479104

Justin Gerald Tattersall is a Registered Nurse First Assistant in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2017.

Licensed in
WY
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 733-3636
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 30955 (WY)

Record details

NPI number1518479104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESNovember 3, 2017

Other providers in Jackson