Fishwild, Tara Lynn
Fishwild, Tara Lynn is an sole proprietor health care provider with primary practice located at 300 Stonecrest Blvd Ste 250 , Smyrna TN 37167-6832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fishwild, Tara Lynn can be contacted via phone (615) 917-6020.Contact Information
Primary practice address
300 Stonecrest Blvd Ste 250
Smyrna TN 37167-6832
Phone: (615) 917-6020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 32393 | Tennessee |
Profile Details
| NPI number | 1659093060 |
|---|---|
| LBN Legal business name | Fishwild, Tara Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2022 |
| Last updated | Nov 4th, 2022 - about 2 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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