| Doctor Name: | JANE TANTUM |
| NPI Number: | 1053484717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | SP000669B |
| Business Practice Address: | 1703 Langhorne Newtown Rd Suite 1 Langhorne, PA - 190471082 |
| Business Phone Number: | 2159683655 |
| Business Fax Number: | 2159684830 |
| Mailing Address: | 1703 Langhorne Newtown Rd, Suite 1 LANGHORNE |
| State: | PA |
| Postal Code: | 190471082 |
| Phone Number: | 2159683655 |
| Fax Number: | 2159684830 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 12/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP000669B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |