| Doctor Name: | TARA LYNNE PARKER |
| NPI Number: | 1609145671 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N,B.S.N, APN, NP-C |
| License Number: | 26NJ00359200 |
| Business Practice Address: | 183 Route 206 Suite 1 Flanders, NJ - 078369261 |
| Business Phone Number: | 9733473277 |
| Business Fax Number: | |
| Mailing Address: | 402 Lippincott Dr, MARLTON |
| State: | NJ |
| Postal Code: | 080534112 |
| Phone Number: | 8567823300 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2011 |
| NPI Last Update Date: | 04/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00359200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |