Provider Demographics
NPI:1154066314
Name:ADKINS, TARAH DAWN (FNP)
Entity Type:Individual
Prefix:
First Name:TARAH
Middle Name:DAWN
Last Name:ADKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TARAH
Other - Middle Name:DAWN
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1656 WARRENSBURG RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37891-8839
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1656 WARRENSBURG RD
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:TN
Practice Address - Zip Code:37891-8839
Practice Address - Country:US
Practice Address - Phone:423-319-6255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31651363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner