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Tara Kortney Miller Johnson
Student in an Organized Health Care Education/Training Program in Dover, New Jersey
NPI 1770224065

Tara Kortney Miller Johnson is a Student in an Organized Health Care Education/Training Program based in Brooklyn, NJ. Tara Kortney Miller Johnson practices in Dover, NJ. The NPI Number for Tara Kortney Miller Johnson is 1770224065 and holds a License No. (New Jersey).

The current practice location address for Tara Kortney Miller Johnson is 18 W Blackwell St, Dover, NJ and can be reached out via phone at 973-328-3344.

Location: 18 W Blackwell St, Dover, NJ, 11201-1491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770224065
Provider Name
Tara Kortney Miller Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
18 W Blackwell St, Dover, NJ, 11201-1491
Phone Number
973-328-3344
Fax Number
Provider Enumeration Date
04/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 W Blackwell St
City
Dover
State
New Jersey
Zip
07801-3841
Phone Number
973-328-3344
Fax Number
person
Provider Business Mailing Address Details
Address
18 W Blackwell St
City
Dover
State
New Jersey
Zip
07801-3841
Phone Number
973-328-3344
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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