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

MS. TARA LEIGH JACKSON, FNP-BC

Active

Family Nurse Practitioner · ANSTED, WV

Registration Details

NPI Number
1790028082
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2013 (13.059084468096 yrs)
Last Updated
Apr 4, 2013
License
67047 (WV)

Practice Information

Address
123 JAMES RIVER & KANAWHA TURNPIKE
ANSTED, WV, 25812
Browse WV providers · Browse ZIP 25812
Phone
3042286809
Fax
3046584690
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in ANSTED, WV

Name Credential NPI
MS. SHAWNA LYNN ADKINS-COX FNP-BC 1902056328
PATRICIA LEWIS FNP-BC 1114334729
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.