Individual
TARA JANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18275 N 59TH AVE STE K162, GLENDALE, AZ 85308-1260
(602) 755-0800
(602) 560-2721
Mailing address
PO BOX 24981, BELFAST, ME 04915-2000
(844) 969-0686
(773) 832-7083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7647
AZ
Other
Enumeration date
06/12/2012
Last updated
11/10/2025
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