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1770182438
TARA P. CARTER
JACKSON, MS
NPI
1770182438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS 904169)
Enumeration Date
2020-10-22
Last Update Date
2021-07-10
Business Address
TARA P. CARTER AGACNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1318
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Mailing Address
TARA P. CARTER AGACNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1470
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