person
Tara Lisa Waggoner, FNP,APN-BC
Family Nurse Practitioner in Jonesboro, Arkansas
NPI 1568515930

Tara Lisa Waggoner is a Family Nurse Practitioner based in Jonesboro, AR and is specialized in Family. Tara Lisa Waggoner practices in Jonesboro, AR and has the professional credentials of FNP,APN-BC. The NPI Number for Tara Lisa Waggoner is 1568515930 and holds a License No. A01852 (Arkansas).

The current practice location address for Tara Lisa Waggoner is 333 Stadium Blvd., Jonesboro, AR and can be reached out via phone at 870-972-2054.

Location: 333 Stadium Blvd., Jonesboro, AR, 72401-7833
person
Provider Profile Details
NPI Number
1568515930
Provider Name
Tara Lisa Waggoner
Credential
FNP,APN-BC
Provider Entity Type
Individual
Gender
Female
Address
333 Stadium Blvd., Jonesboro, AR, 72401-7833
Phone Number
870-972-2054
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
333 Stadium Blvd.
City
State
Zip
72401
Phone Number
870-972-2054
Fax Number
person
Provider Business Mailing Address Details
Address
333 Stadium Blvd.
City
State
Zip
72401
Phone Number
870-972-2054
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A01852 (Arkansas)
Definition
Definition to come...
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