Provider Demographics
NPI:1235854712
Name:ISBELL, TARA OLIVIA (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:OLIVIA
Last Name:ISBELL
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 ACKLEN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5407
Mailing Address - Country:US
Mailing Address - Phone:270-705-2410
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING PIKE STE 200
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2020
Practice Address - Country:US
Practice Address - Phone:615-964-5864
Practice Address - Fax:615-269-7359
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32663363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care