Individual
MRS. TARA LYNN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
(731) 927-8601
Mailing address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
(731) 927-8601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000150636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448133
—
TN
Enumeration date
08/14/2008
Last updated
08/14/2008
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