Individual
MRS. TARA JENNIFER KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
695743
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012285
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
01/30/2018
Last updated
12/16/2020
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