person
Tara Lynn Livingston, FPAAPRN
Psychiatric/Mental Health Nurse Practitioner in Peoria, Illinois
NPI 1417509407

Tara Lynn Livingston is a Psychiatric/Mental Health Nurse Practitioner based in Peoria, IL and is specialized in Psychiatric/Mental Health. Tara Lynn Livingston practices in Peoria, IL and has the professional credentials of FPAAPRN. The NPI Number for Tara Lynn Livingston is 1417509407 and holds a License No. 277002042 (Illinois).

The current practice location address for Tara Lynn Livingston is 5901 N Prospect Rd Ste 202, Peoria, IL and can be reached out via phone at 888-428-7890 and via fax at 877-428-7891.

Location: 5901 N Prospect Rd Ste 202, Peoria, IL, 61614-4358
person
Provider Profile Details
NPI Number
1417509407
Provider Name
Tara Lynn Livingston
Credential
FPAAPRN
Provider Entity Type
Individual
Gender
Female
Address
5901 N Prospect Rd Ste 202, Peoria, IL, 61614-4358
Phone Number
888-428-7890
Fax Number
877-428-7891
Provider Enumeration Date
07/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5901 N Prospect Rd Ste 202
City
State
Zip
61614-4358
Phone Number
888-428-7890
Fax Number
877-428-7891
person
Provider Business Mailing Address Details
Address
5901 N Prospect Rd Ste 202
City
State
Zip
61614-4358
Phone Number
888-428-7890
Fax Number
877-428-7891
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
277002042 (Illinois)
Definition
Definition to come...
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