person
Ms. Tara Shajuan Miles, FNP
Family Nurse Practitioner in Greenville, South Carolina
NPI 1215381108

Tara Shajuan Miles is a Family Nurse Practitioner based in Anderson, SC and is specialized in Family. Tara Shajuan Miles practices in Greenville, SC and has the professional credentials of FNP. The NPI Number for Tara Shajuan Miles is 1215381108 and holds a License No. 19424 (South Carolina).

The current practice location address for Tara Shajuan Miles is 545 W Butler Rd, Greenville, SC and can be reached out via phone at 864-299-1990 and via fax at 864-299-9123.

Location: 545 W Butler Rd, Greenville, SC, 29621-7300
person
Provider Profile Details
NPI Number
1215381108
Provider Name
Tara Shajuan Miles
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
545 W Butler Rd, Greenville, SC, 29621-7300
Phone Number
864-299-1990
Fax Number
864-299-9123
Provider Enumeration Date
04/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19424 01 SC STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
545 W Butler Rd
City
State
Zip
29607-4833
Phone Number
864-299-1990
Fax Number
864-299-9123
person
Provider Business Mailing Address Details
Address
545 W Butler Rd
City
State
Zip
29607-4833
Phone Number
864-299-1990
Fax Number
864-299-9123
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
19424 (South Carolina)
Definition
Definition to come...
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