Individual
TACARLA SHANTESE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1023 MEDICAL CENTER PKWY STE 200, SELMA, AL 36701-7739
(334) 875-4184
Mailing address
1023 MEDICAL CENTER PKWY STE 200, SELMA, AL 36701-7739
(334) 875-4184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-139543
AL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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