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Individual
TARA Y. JACKSON
Active
Individual
TARA Y. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP SP020082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN527439L
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020082
PA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
SP020082
PA
Other
Enumeration date
02/08/2019
Last updated
08/01/2026
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