Provider Demographics
NPI:1619052511
Name:TARRANT, JUDITH JUNE (RN, FNP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:JUNE
Last Name:TARRANT
Suffix:
Gender:F
Credentials:RN, FNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2101 STONE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-4044
Mailing Address - Country:US
Mailing Address - Phone:916-371-3787
Mailing Address - Fax:916-371-3790
Practice Address - Street 1:2101 STONE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-4044
Practice Address - Country:US
Practice Address - Phone:916-371-3787
Practice Address - Fax:916-371-3790
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2013-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA134507363LP0200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care