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Individual
TARA HENDRIX
Active
Individual
TARA HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN7201
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3903056
—
TN
01
—
4042004
BLUE CROSS
TN
Enumeration date
01/19/2007
Last updated
12/18/2018
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