Underwood, Tara Faith

Underwood, Tara Faith is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Underwood, Tara Faith can be contacted via phone (502) 562-4429.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Phone: (502) 562-4429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4003621 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024187025 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024187025 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4003621 Kentucky

Profile Details

NPI number 1487346243
LBN Legal business name Underwood, Tara Faith
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2023
Last updated Oct 19th, 2023 - about 3 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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