Tara Yvette Mabon is a Family in Memphis, Tennessee. Tara Yvette Mabon practices all healthcare services and medical treatments related to Family. The NPI Number for Tara Yvette Mabon is 1619136306. The last update date is 2017-01-03.
Tara Yvette Mabon's current location address is 2500 Peres Ave, Memphis, Tennessee. You can contact this provider via phone number 9015155500 and fax number 9014585591. The mailing address for Tara Yvette Mabon is 2500 Peres Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Yvette Mabon |
|---|---|
| Address | 2500 Peres Ave, Memphis, Tennessee |
| Phone Number | 9015155500 |
| Fax Number | 9014585591 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1619136306 |
|---|---|
| Provider Enumeration Date | 2008-06-06 |
| Last Updated Date | 2017-01-03 |
Provider Mailing Address Detail
| Address | 2500 Peres Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381081660 |
| Phone Number | 9015155500 |
| Fax Number | 9014585591 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 13381 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Tara Yvette Mabon by the Centers for Medicare & Medicaid Services?
The Tara Yvette Mabon has been assigned the NPI (National Provider Identifier) 1619136306. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tara Yvette Mabon's physical address?
The Tara Yvette Mabon is physically located at 2500 Peres Ave, in the city of Memphis, TN, with the postal code 381081660.
What is Tara Yvette Mabon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tara Yvette Mabon's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did Tara Yvette Mabon receive its 1619136306 assignment from the Centers for Medicare & Medicaid Services?
The Tara Yvette Mabon was assigned its 1619136306 on 2008-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tara Yvette Mabon last refreshed?
The information related to the Tara Yvette Mabon, including its address, specialty, and other relevant details, was last updated on 2017-01-03.
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