Individual
TIARA SHANAY FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
140 PAWNEE AVE, CLEMENTON, NJ 08021-4627
(856) 383-1494
Mailing address
140 PAWNEE AVE, CLEMENTON, NJ 08021-4627
(856) 383-1494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ15385400
NJ
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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