Hendrix, Tara

Hendrix, Tara is an individual health care provider with primary practice located at 9550 Hwy 412W Suite C , Lexington TN 38351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hendrix, Tara can be contacted via phone (731) 968-1400.

Contact Information

Primary practice address
9550 Hwy 412W Suite C Lexington TN 38351
Phone: (731) 968-1400
Fax: (731) 847-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN7201 Tennessee

Profile Details

NPI number 1467505958
LBN Legal business name Hendrix, Tara
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Dec 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467505958 NPPES
Tennessee MEDICAID 3903056
Tennessee Other 4042004

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