Individual
TARA MARION JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP-C
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Mailing address
42 CORAL DR, DRACUT, MA 01826-1680
(781) 454-5451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
284299
MA
363L00000X
Nurse Practitioner
Primary
284299
MA
Other
Enumeration date
02/03/2023
Last updated
04/01/2023
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