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MR. JEFFERY TAN
NPI 1639068554
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 03, 2025
340 W 10TH ST STE 620, INDIANAPOLIS, IN 46202(317) 274-8157 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffery Tan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFERY TAN (NPI 1639068554) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1639068554
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JEFFERY TAN
Location Address340 W 10TH ST STE 620Indianapolis, IN 46202-3082
Mailing Address340 W 10th St Ste 620Indianapolis, IN 46202-3082 · (317) 274-8157
Phone(317) 274-8157
Sole ProprietorNo
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1639068554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
340 W 10TH ST STE 620, Indianapolis, IN 46202
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN XIONG
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
ASHLYN FELTON MD
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
LOGAN EDWARD KOEHNE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
LINDSEY LABUDA
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
DILLON MOBASSER MD
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
CONNOR BURKE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (574) 807-1853
MARYKAY MADUIKE
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
ADELE ELAINE HEMMERLEIN
Student in an Organized Health Care Education/Training Program
340 W 10TH ST STE 620
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Tan's NPI number?

The NPI number for Jeffery Tan is 1639068554. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Jeffery Tan located?

Jeffery Tan practices at 340 W 10th St Ste 620, Indianapolis, IN 46202. The listed phone number is (317) 274-8157.

What is Jeffery Tan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffery Tan was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.