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Individual
TARA LADAWN PHILLIPS
Active
Individual
TARA LADAWN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1052397
TX
363LF0000X
Family Nurse Practitioner
225755
AR
363LF0000X
Family Nurse Practitioner
R0113302
OK
Other
Enumeration date
08/29/2018
Last updated
12/15/2025
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