TARA JACKSON

KANSAS CITY, MO
NPI1184979098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  53-75820-112)
Enumeration Date2012-07-17
Last Update Date2022-01-31
Business Address
TARA JACKSON APRN
6675 HOLMES RD SUITE 400
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7410
Mailing Address
TARA JACKSON APRN
6675 HOLMES RD SUITE 400
KANSAS CITY, MO 64131-1150
Phone number: 816-276-7410