| Doctor Name: | TASHA DAWN NEHART |
| NPI Number: | 1003032293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 209005571 |
| Business Practice Address: | 2614 W Jefferson St Joliet, IL - 604356433 |
| Business Phone Number: | 8157251355 |
| Business Fax Number: | |
| Mailing Address: | 2614 W Jefferson St, JOLIET |
| State: | IL |
| Postal Code: | 604356433 |
| Phone Number: | 8157251355 |
| Fax Number: | 8157259857 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209005571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |