Individual provider · Type 1 NPI

Tacarra Jernagin

General Practice Registered Nurse · Detroit, MI

NPI number 1619746146 Active

Practice location

21509 Fenkell St
Detroit, MI 48223-1512

Call (734) 460-5100 Map

Mailing address

2315 Steeplechase Rd
Canton, MI 48188-0026

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Clinical Nurse Specialist 364S00000X4704340544 (MI)
General Practice Registered Nurse Primary 163WG0000X4704340544 (MI)

General Practice Registered Nurse: Definition to come...

Other general practice registered nurse providers in Detroit

See all in Detroit →

About NPI 1619746146

Tacarra Jernagin's National Provider Identifier is 1619746146, issued on Dec 26, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Detroit, MI. The record was last updated on Dec 26, 2023.