Individual provider · Type 1 NPI

Tara Yvette Mabon, FNP

Family Nurse Practitioner · Memphis, TN

NPI number 1619136306 Active

Practice location

2500 Peres Ave
Memphis, TN 38108-1660

Fax (901) 458-5591

Mailing address

877 Jefferson Ave, Attn: Provider Enrollment
Memphis, TN 38103-2807

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0000013381 (TN)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1619136306

Tara Yvette Mabon, FNP's National Provider Identifier is 1619136306, issued on Jun 6, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Jan 3, 2017.