Provider Demographics
NPI:1801616263
Name:CARBONE, TARYN JEAN (FNP-C)
Entity type:Individual
Prefix:MS
First Name:TARYN
Middle Name:JEAN
Last Name:CARBONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:TARYN
Other - Middle Name:JEAN
Other - Last Name:CARBONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3461 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1465
Mailing Address - Country:US
Mailing Address - Phone:401-471-6776
Mailing Address - Fax:
Practice Address - Street 1:3461 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1465
Practice Address - Country:US
Practice Address - Phone:401-471-6776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICAPRN04358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily