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:
Health care specialties
Specialty | Code | License # | 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 10 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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