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Tara S. Keen, NP-FAMILY
Family Nurse Practitioner in Lake City, Florida
NPI 1316573611

Tara S. Keen is a Family Nurse Practitioner based in Jacksonville, FL and is specialized in Family. Tara S. Keen practices in Lake City, FL and has the professional credentials of NP-FAMILY. The NPI Number for Tara S. Keen is 1316573611 and holds a License No. 11005780 (Florida).

The current practice location address for Tara S. Keen is 619 S Marion Ave, Lake City, FL and can be reached out via phone at 386-755-3016.

Location: 619 S Marion Ave, Lake City, FL, 32209-6525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316573611
Provider Name
Tara S. Keen
Credential
NP-FAMILY
Provider Entity Type
Individual
Gender
Female
Address
619 S Marion Ave, Lake City, FL, 32209-6525
Phone Number
386-755-3016
Fax Number
Provider Enumeration Date
03/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11005780 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
619 S Marion Ave
City
Lake City
State
Florida
Zip
32025-5808
Phone Number
386-755-3016
Fax Number
person
Provider Business Mailing Address Details
Address
619 S Marion Ave
City
Lake City
State
Florida
Zip
32025-5808
Phone Number
386-755-3016
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11005780 (Florida)
Definition
Definition to come...
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