Individual
TARA MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2501 SAINT MARY DR, CAMP LEJEUNE, NC 28547-1318
(619) 565-9380
Mailing address
2501 SAINT MARY DR, CAMP LEJEUNE, NC 28547-1318
(619) 565-9380
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06210179
KY
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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