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Individual

TARA LYNN PEURIFOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
501 SAUNDERS AVE STE 320, TYLER, TX 75702-7524
(903) 606-4300
(903) 606-1283
Mailing address
16972 LAKEWAY CIR, FLINT, TX 75762-5809
(903) 283-3831

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
877872
TX
363LA2100X
Acute Care Nurse Practitioner
1175479
TX

Other

Enumeration date
10/18/2024
Last updated
11/08/2024
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