Tara Carson Jernejcic in Winston - Salem - Medical
Tara Carson Jernejcic - NPI 1104809342
Tara Carson Jernejcic is a Medical in Winston - Salem, North Carolina. Tara Carson Jernejcic practices all healthcare services and medical treatments related to Medical. The NPI Number for Tara Carson Jernejcic is 1104809342. The last update date is 2015-12-10.
Tara Carson Jernejcic's current location address is 4692 Brownsboro Road, Winston - Salem, North Carolina. You can contact this provider via phone number 3362511114 and fax number 3362511116. The mailing address for Tara Carson Jernejcic is 4692 Brownsboro Road, Winston - Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Carson Jernejcic |
|---|---|
| Address | 4692 Brownsboro Road, Winston - Salem, North Carolina |
| Phone Number | 3362511114 |
| Fax Number | 3362511116 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104809342 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2015-12-10 |
Provider Mailing Address Detail
| Address | 4692 Brownsboro Road |
|---|---|
| City | Winston - Salem |
| State | North Carolina (NC) |
| Post Code | 27106 |
| Phone Number | 3362511114 |
| Fax Number | 3362511116 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 600122 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tara Carson Jernejcic by the Centers for Medicare & Medicaid Services?
The Tara Carson Jernejcic has been issued the NPI (National Provider Identifier) 1104809342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Tara Carson Jernejcic is geographically located?
The Tara Carson Jernejcic is physically situated at the following location: 4692 Brownsboro Road, Winston - Salem, NC, 27106.
What is Tara Carson Jernejcic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tara Carson Jernejcic is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
When was the Tara Carson Jernejcic's 1104809342 issued?
The Tara Carson Jernejcic's 1104809342 was issued on 2005-11-22.
When was the information related to Tara Carson Jernejcic most recently updated or refreshed?
The details pertaining to the Tara Carson Jernejcic, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-10.
NPI Number: 1427051903
Address: 58457 29 Palms Hwy, Yucca Valley, CA