Individual provider · Type 1 NPI
Tarah Winter Jasper, APRN PMHNP
Psychiatric/Mental Health Nurse Practitioner · Lagrange, KY
NPI number
1043843808
Active
Practice location
1612 Dawkins Road
Lagrange, KY 40031-8729
Mailing address
4302 Grand Wood Way
Crestwood, KY 40014-9796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3018541 (KY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 59419 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1043843808
Tarah Winter Jasper, APRN PMHNP's National Provider Identifier is 1043843808, issued on Feb 19, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lagrange, KY. The record was last updated on Nov 24, 2023.