Individual provider · Type 1 NPI

Tara Fenner, FNP-C

Family Nurse Practitioner · Groves, TX

NPI number 1417423153 Active

Practice location

6265 39th St
Groves, TX 77619-4614

Call (409) 962-4400 Map

Fax (409) 962-4412

Mailing address

6000 39th St
Groves, TX 77619-4600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP140593 (TX)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1417423153

Tara Fenner, FNP-C's National Provider Identifier is 1417423153, issued on Oct 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Groves, TX. The record was last updated on Jan 19, 2026.