Blair, Tara Leslie

Blair, Tara Leslie is an individual health care provider with primary practice located at 227 Falcon Dr Ste 101 , Mt Sterling KY 40353-9792. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Blair, Tara Leslie can be contacted via phone (859) 497-5135.

Contact Information

Primary practice address
227 Falcon Dr Ste 101 Mt Sterling KY 40353-9792
Phone: (859) 497-5135
Fax: (859) 497-5140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 364SC0200X 3007961 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 3007961 Kentucky

Profile Details

NPI number 1265877989
LBN Legal business name Blair, Tara Leslie
Credentials DNP, APRN, CCNS
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2013
Last updated May 6th, 2019 - about 5 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 1265877989 NPPES
Kentucky MEDICAID 7100257800

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