Youngblood, Tara Lea

Youngblood, Tara Lea is an individual health care provider with primary practice located at 1 Perkins Sq , Akron OH 44308-1063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Youngblood, Tara Lea can be contacted via phone (330) 543-6060.

Contact Information

Primary practice address
1 Perkins Sq Akron OH 44308-1063
Phone: (330) 543-6060
Fax: (330) 543-6069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.17892-NP Ohio

Profile Details

NPI number 1366828311
LBN Legal business name Youngblood, Tara Lea
Credentials CNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2015
Last updated May 1st, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366828311 NPPES
Ohio MEDICAID 1366828311

Popular Providers