Jernejcic, Tara Carson

Jernejcic, Tara Carson is an individual health care provider with primary practice located at 100 South Market Street Frederick Community Action Agency, Frederick MD 21701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jernejcic, Tara Carson can be contacted via phone (301) 600-1506.

Contact Information

Primary practice address
100 South Market Street Frederick Community Action Agency Frederick MD 21701
Phone: (301) 600-1506
Fax: (301) 662-9079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 600122 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102381 North Carolina

Profile Details

NPI number 1104809342
LBN Legal business name Jernejcic, Tara Carson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 10th, 2015 - about 9 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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