Individual
TARA LANETTE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(833) 979-0356
Mailing address
842 GRAYSVILLE RD, CHATTANOOGA, TN 37421-4322
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN097117
GA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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