Justin Gerald Tattersall
Registered Nurse First Assistant · Jackson, WY
Justin Gerald Tattersall is a registered nurse first assistant with a practice address in Jackson, Wyoming, and NPI 1518479104, issued on Nov 3, 2017. Check the license (Wyoming 30955, as entered in NPPES) with the Wyoming board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Justin Gerald Tattersall
- Primary taxonomy
- Registered Nurse First Assistant 163WR0006X
- License number
- 30955 WY
Self-reported in NPPES; status is on the state search - Practice location
- 625 E Broadway Ave, Jackson, WY 83001
- Phone
- (307) 733-3636
- Enumerated
- Nov 3, 2017
- Record last updated
- Nov 3, 2017 (not updated in 9 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 625 E Broadway Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sharon Bailey, DNPAcute Care Nurse Practitioner1558454934
- Kelly Biscombe, APRNFamily Nurse Practitioner1861922122
- Ashley Bostyan, DNP, APRN, ACAGNP-BCAcute Care Nurse Practitioner1639724099
- Edward Callaghan, M.D.Anatomic Pathology & Clinical Pathology Physician1013969211
- Melanie Canna, OTR/LNeurorehabilitation Occupational Therapist1972232288
- Kerry Carr, FNPNurse Practitioner1285716746
Verify Justin Gerald Tattersall in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wyoming board licenses this profession
Search for license 30955Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Registered Nurse First Assistant providers in Wyoming
There are 20 registered nurse first assistant records in Wyoming. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other registered nurse first assistant records in Wyoming
- Rhonda Aune, RNFACasper, WY1144318379
- Jill Del Rio, BSN, RN, CNOR, RNFALaramie, WY1194316752
- Sharon Dunlay, CNORLaramie, WY1811195613
- Sean Ennist, RNFALaramie, WY1235367517
- Morgan ErcanbrackJackson, WY1497647481
- Wendy EricksonCody, WY1386476661
- Tracy Hilton, BSN, RN, RNFA, CNORLaramie, WY1205727302
- Noreen Hove, REGISTERED NURSERock Springs, WY1548410376
- Jessica Huckins, RNFAGillette, WY1215478136
- Torrie Irene, BSN, RNFA, CNORLaramie, WY1427488279
Common questions
What is Justin Gerald Tattersall's NPI number?
Justin Gerald Tattersall's National Provider Identifier (NPI) is 1518479104, issued on Nov 3, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Justin Gerald Tattersall located?
The NPPES record lists a practice address at 625 E Broadway Ave, Jackson, WY, 83001. Phone: (307) 733-3636. Providers update this record themselves, so call before visiting.
How can I verify Justin Gerald Tattersall's license?
NPPES lists Wyoming license number 30955, as entered by the provider. Search the Wyoming board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.