Individual
TARA KAY UPTON
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
Mailing address
PO BOX 151, MEDON, TN 38356-0151
(731) 424-9649
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000139709
TN
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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