Individual provider · Type 1 NPI

Tara Frederick, APRN

Nurse Practitioner · Corbin, KY

NPI number 1497417265 Active

Practice location

14949 N US Highway 25 E
Corbin, KY 40701-6285

Fax (606) 215-3816

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1144622 (KY)
Nurse Practitioner Primary 363L00000X3016843 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497417265

Tara Frederick, APRN's National Provider Identifier is 1497417265, issued on Oct 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Corbin, KY. The record was last updated on Mar 11, 2025.