Jeffrey Tanner

NPI 1598635898 · on the registry since 2025 · sole proprietor

Practice

Address: 1492 S Independence Blvd Ste 100
Virginia Beach, VA 23462
Phone: (757) 632-0974
Organisation at this address: Illumination, Llc
Baldwin Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia