Tara Jackson
NPI #1093169823 in Auburn, Kentucky
Provider Information
- NPI Number
- 1093169823
- Entity Type
- Organization
- Organization Name
- Tara Jackson
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Apr 18, 2016
- Last Updated
- Apr 18, 2016
Practice Location
Authorized Official
- Name
- TARA JACKSON
- Title
- DEVELOPMENTAL INTERVENTIONIST
- Phone
- (270) 847-7004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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