Individual
TARA E. CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
871 W MAIN ST, BOONEVILLE, AR 72927-3420
(479) 675-4100
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221285
AR
Other
Enumeration date
07/18/2022
Last updated
09/12/2025
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