Individual
MRS. TARA LYNN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, PMHNP-BC
Contact information
Practice address
11754 JOLLYVILLE RD STE 110, AUSTIN, TX 78759-3948
(512) 331-2700
Mailing address
11754 JOLLYVILLE RD STE 110, AUSTIN, TX 78759-3948
(512) 331-2700
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
705864
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP117716
TX
Other
Enumeration date
03/25/2009
Last updated
07/05/2022
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