Search › Kentucky › 222Q00000X
Tara Jackson
NPI 1578784245 · on the registry since 2007 · sole proprietor
Practice
- Address
- 104 G Corum Ln
Auburn, KY 42206 - Phone
- (270) 847-7004
- Fax
- (270) 542-2519
- Organisation at this address
- Tara Jackson
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Sex
- Female
- Record last updated
- 2020-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky