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Individual
TARYN L PLUMMER
Active
Individual
TARYN L PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019654
IL
363LG0600X
Gerontology Nurse Practitioner
209019654
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041364029
RN LICENSE
IL
Enumeration date
09/03/2019
Last updated
06/25/2024
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