Individual
JEANINE M TARRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC,NP
Contact information
Practice address
380 EMPIRE RD, LAFAYETTE, CO 80026-2677
(303) 665-8444
(303) 665-8848
Mailing address
380 EMPIRE RD, LAFAYETTE, CO 80026-2677
(303) 665-8444
(303) 665-8448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07003924
—
CO
Enumeration date
09/14/2006
Last updated
03/20/2014
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