Individual provider · Type 1 NPI
Tara Lisa Waggoner, FNP, APN-BC
Family Nurse Practitioner · Jonesboro, AR
NPI number
1568515930
Active
Practice location
333 Stadium Blvd., Suite B
Jonesboro, AR 72401
Mailing address
4203 Sandstone Dr
Jonesboro, AR 72401-7833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A01852 (AR) |
Family Nurse Practitioner: Definition to come...
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- Heather Stallings, APRNFamily Nurse Practitioner Jonesboro, AR NPI 1013359769
- Nathan G. Perrin, APRNFamily Nurse Practitioner Jonesboro, AR NPI 1033857628
- Tiffany D. Crites, APRNFamily Nurse Practitioner Jonesboro, AR NPI 1043030513
- Erin L. Green, APRNFamily Nurse Practitioner Jonesboro, AR NPI 1043660194
- Lawrence A. Weisenbach, APRNFamily Nurse Practitioner Jonesboro, AR NPI 1053891895
About NPI 1568515930
Tara Lisa Waggoner, FNP, APN-BC's National Provider Identifier is 1568515930, issued on Jan 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jonesboro, AR. The record was last updated on Jul 8, 2007.