Jewell, Tara
Jewell, Tara is an individual health care provider with primary practice located at 3702 S Timberline Rd Bldg A, Fort Collins CO 80525-3624. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Jewell, Tara can be contacted via phone (970) 212-0879.Contact Information
Primary practice address
3702 S Timberline Rd Bldg A
Fort Collins CO 80525-3624
Phone: (970) 212-0879
Fax: (970) 484-8667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 340927 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 0992029 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 306752 | New York |
Profile Details
| NPI number | 1669893699 |
|---|---|
| LBN Legal business name | Jewell, Tara |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2013 |
| Last updated | Sep 22nd, 2021 - about 5 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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