# TACARRA JERNAGIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619746146
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 4704340544 | MI | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 364S00000X | Clinical Nurse Specialist | 4704340544 | MI | — |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 12/26/2023