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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA JACKSON

Active Organization

TARA JACKSON is a Early Intervention Provider Agency organization located in AUBURN, Kentucky. NPI 1093169823 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · AUBURN, KY

Registration Details

NPI Number
1093169823
Provider Type
Organization
NPI Issued
Apr 18, 2016 (10.326476331116 yrs)
Last Updated
Apr 18, 2016

Practice Information

Address
104 G CORUM LN
AUBURN, KY, 422065000
Browse KY providers · Browse ZIP 42206
Phone
2708477004
Primary Specialty
Early Intervention Provider Agency
252Y00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.