Tahir, Jaimie Sarcon

Tahir, Jaimie Sarcon is an individual health care provider with primary practice located at 601 Old Wagner Rd , Petersburg VA 23805-9313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tahir, Jaimie Sarcon can be contacted via phone (804) 835-9398.

Contact Information

Primary practice address
601 Old Wagner Rd Petersburg VA 23805-9313
Fax: (804) 414-7062
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2014017971 Virginia

Profile Details

NPI number 1528420544
LBN Legal business name Tahir, Jaimie Sarcon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Aug 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528420544 NPPES
Virginia Other VVL477A MEDICARE ID

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