Eubanks, Tarra L

Eubanks, Tarra L is an individual health care provider with primary practice located at 8060 Wolf River Blvd , Memphis TN 38138-1727. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Eubanks, Tarra L can be contacted via phone (901) 271-1000.

Contact Information

Primary practice address
8060 Wolf River Blvd Memphis TN 38138-1727
Phone: (901) 271-1000
Fax: (901) 271-2161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 97013 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 97013 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0000006857 Tennessee

Profile Details

NPI number 1871593111
LBN Legal business name Eubanks, Tarra L
Credentials APRN,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1871593111 NPPES
Tennessee MEDICAID 3495957

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