Tabor, Eniana Jane
Tabor, Eniana Jane is an sole proprietor health care provider with primary practice located at 300 Baker Ave , Concord MA 01742-2131. 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. Tabor, Eniana Jane can be contacted via phone (978) 245-6171.Contact Information
Primary practice address
300 Baker Ave
Concord MA 01742-2131
Phone: (978) 245-6171
Fax: (978) 381-5801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2310374 | Massachusetts |
Profile Details
| NPI number | 1902350408 |
|---|---|
| LBN Legal business name | Tabor, Eniana Jane |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2016 |
| Last updated | Apr 22nd, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902350408 | NPPES |
| Massachusetts | MEDICAID | 020860 |
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