Jueschke, Tara Lynne

Jueschke, Tara Lynne is an individual health care provider with primary practice located at 5315 W 12Th St , Little Rock AR 72204-1858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jueschke, Tara Lynne can be contacted via phone (501) 664-0941.

Contact Information

Primary practice address
5315 W 12Th St Little Rock AR 72204-1858
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA272 Arkansas

Profile Details

NPI number 1932263001
LBN Legal business name Jueschke, Tara Lynne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
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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