Individual provider · Type 1 NPI

Tara Jennings, N.P.

Nurse Practitioner · Boston, MA

NPI number 1508046723 Active

Practice location

55 Fruit St, Acc 735
Boston, MA 02114-2621

Fax (617) 726-9250

Mailing address

3400 Spruce St, 2 Ravdin
Philadelphia, PA 19104

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP022480 (PA)
Adult Health Nurse Practitioner 363LA2200X262759 (MA)

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 1508046723

Tara Jennings, N.P.'s National Provider Identifier is 1508046723, issued on Nov 5, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Oct 1, 2020.