Provider Demographics
NPI:1346858479
Name:HARRELL, TARYN MICHELLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:TARYN
Middle Name:MICHELLE
Last Name:HARRELL
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 N 1ST ST STE J
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1358
Mailing Address - Country:US
Mailing Address - Phone:812-882-4694
Mailing Address - Fax:812-882-0630
Practice Address - Street 1:406 N 1ST ST STE J
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1358
Practice Address - Country:US
Practice Address - Phone:812-882-4694
Practice Address - Fax:812-882-0630
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28190733A163W00000X
IN71010321A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse