Individual
ENIANA JANE TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
300 BAKER AVE, CONCORD, MA 01742-2131
(978) 245-6171
(978) 381-5801
Mailing address
300 BAKER AVE, CONCORD, MA 01742-2131
(978) 245-6171
(978) 381-5801
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2310374
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020860
—
MA
Enumeration date
08/12/2016
Last updated
04/22/2026
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