Most Relevant Information
Provider Data
| NPI Number: | 1003654526 |
| Provider Name: | TARA HERRING |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 229258 |
Most Important Dates
| Enumeration Date: | 07/18/2024 |
| Last Updated: | 07/18/2024 |
Provider Practice Location
32 S BROADVIEW ST
GREENBRIER
AR
720589601
Practice Location Phone/Fax
| Phone: | 5014564001 |
| Fax: |
Provider Mailing Location
PO BOX 306593
NASHVILLE
TN
372306593
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |