Individual
MS. TARA ANN PHILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN PMHNP
Contact information
Practice address
9079 N DICKENS DR, CITRUS SPRINGS, FL 34434-4943
(305) 560-7583
(352) 218-7635
Mailing address
9079 N DICKENS DR, CITRUS SPRINGS, FL 34434-4943
(305) 560-7583
(352) 218-7635
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11013056
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
APRN11013056
FL
Other
Enumeration date
05/12/2021
Last updated
05/30/2024
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