# TARA JEWELL

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

## Provider details

- **NPI number:** 1669893699
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 306752 | NY | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 0992029 | CO | — |
| 363LG0600X | Gerontology Nurse Practitioner | 340927 | NY | — |

## Other

- **Enumeration date:** 12/17/2013
- **Last updated:** 09/22/2021