Individual
JENNIFER TARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8394
Mailing address
3170 KETTERING BLVD BLDG B2, MORAINE, OH 45439-1924
(937) 991-3188
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0027690
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420421
—
OH
Enumeration date
09/10/2020
Last updated
11/19/2024
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