Individual
IVY TAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
782 MEDICAL CENTER DR E STE 309, CLOVIS, CA 93611-6892
(559) 387-2150
Mailing address
45 E RIVER PARK PL W STE 507, FRESNO, CA 93720-1565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95032205
CA
Other
Enumeration date
01/25/2021
Last updated
09/05/2025
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