Individual
TARYN NICOLE BOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP
Contact information
Practice address
300 2ND AVE NE, JAMESTOWN, ND 58401
(701) 251-6000
Mailing address
300 2ND AVE NE, JAMESTOWN, ND 58401-3373
(701) 251-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R34186
ND
Other
Enumeration date
07/02/2015
Last updated
05/24/2018
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