Individual
TARA JEAN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
2550 ELMS CENTER RD, NORTH CHARLESTON, SC 29406-9844
(843) 302-8840
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23220
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7441
—
SC
Enumeration date
11/21/2019
Last updated
03/12/2026
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