Livingston, Tara Lynn

Livingston, Tara Lynn is an individual health care provider with primary practice located at 5901 N Prospect Rd Ste 202 , Peoria IL 61614-4358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Livingston, Tara Lynn can be contacted via phone (888) 428-7890.

Contact Information

Primary practice address
5901 N Prospect Rd Ste 202 Peoria IL 61614-4358
Phone: (888) 428-7890
Fax: (877) 428-7891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277002042 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 377001970 Illinois

Profile Details

NPI number 1417509407
LBN Legal business name Livingston, Tara Lynn
Credentials FPA APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2019
Last updated Jul 13th, 2022 - about 4 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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