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

TARA LISA WAGGONER, FNP, APN-BC

Active

Family Nurse Practitioner · JONESBORO, AR

Registration Details

NPI Number
1568515930
Provider Type
Individual
Gender
Female
NPI Issued
Jan 19, 2007 (19.2519379214 yrs)
Last Updated
Jul 8, 2007
License
A01852 (AR)

Practice Information

Address
333 STADIUM BLVD.
SUITE B
JONESBORO, AR, 72401
Browse AR providers · Browse ZIP 72401
Phone
8709722054
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in JONESBORO, AR

Name Credential NPI
STACIA GALLION APN 1063479814
MRS. KATHRYN LORI DENTON ANP 1831117084
MRS. LINDA A. FARRIS ANP 1336160324
JESSICA M COUNTS FNP 1699787978
MRS. AMANDA J. DUCH APN 1619049384
MRS. AMBER MICHELLE SLOAN APN 1952515777
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.