Johnson, Tara L
Johnson, Tara L is an individual health care provider with primary practice located at 1100 36Th Ave , Moline IL 61265-7127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Tara L can be contacted via phone (309) 743-6700.Contact Information
Primary practice address
1100 36Th Ave
Moline IL 61265-7127
Phone: (309) 743-6700
Fax: (309) 764-2042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209015676 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 108072 | Iowa |
Profile Details
| NPI number | 1194261479 |
|---|---|
| LBN Legal business name | Johnson, Tara L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2017 |
| Last updated | Feb 11th, 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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