Caldwell, Tara Jean
Caldwell, Tara Jean is an individual health care provider with primary practice located at 180 Wingo Way Ste 306 , Mt Pleasant SC 29464-1812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Caldwell, Tara Jean can be contacted via phone (843) 884-1777.Contact Information
Primary practice address
180 Wingo Way Ste 306
Mt Pleasant SC 29464-1812
Phone: (843) 884-1777
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 23220 | South Carolina |
Profile Details
NPI number | 1245876598 |
---|---|
LBN Legal business name | Caldwell, Tara Jean |
Credentials | DNP, APRN, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2019 |
Last updated | Sep 23rd, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245876598 | NPPES |
South Carolina | MEDICAID | NP7441 |
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