Davis, Tara Patricia
Davis, Tara Patricia is an sole proprietor health care provider with primary practice located at 1000 Corporate Pointe Ste 120 , Warner Robins GA 31088-3440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Tara Patricia can be contacted via phone (478) 918-6434.Contact Information
Primary practice address
1000 Corporate Pointe Ste 120
Warner Robins GA 31088-3440
Phone: (478) 918-6434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024168713 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-1569 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN274303 | Georgia |
Profile Details
| NPI number | 1649460080 |
|---|---|
| LBN Legal business name | Davis, Tara Patricia |
| Credentials | RN, MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Feb 20th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649460080 | NPPES |
| District of Columbia | MEDICAID | 024905300 |
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