Jackson, Tara Y.

Jackson, Tara Y. is an individual health care provider with primary practice located at 680 Blair Mill Rd , Horsham PA 19044-2223. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jackson, Tara Y. can be contacted via phone (215) 902-9014.

Contact Information

Primary practice address

680 Blair Mill Rd Horsham PA 19044-2223

Phone: (215) 902-9014

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Registered Nurse	163W00000X	RN527439L	Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family	363LF0000X	SP020082	Pennsylvania

Profile Details

NPI number	1124583653
LBN Legal business name	Jackson, Tara Y.
Credentials	CRNP SP020082
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 8th, 2019
Last updated	Mar 6th, 2019 - about 7 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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