# MS. TARA COURTNEY CALLOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558627141
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | L-15798 | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | F382246 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024175192 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209033120 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ15400500 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 406265 | NY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95000450 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN11016172 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-RXN.0100260-C-NP | CO | — |

## Other

- **Enumeration date:** 04/08/2012
- **Last updated:** 12/31/2025