Tara Lisa Waggoner, FNP, APN-BC is a family nurse practitioner in Jonesboro, AR. Tara Lisa Waggoner, FNP, APN-BC NPI is 1568515930. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
333 STADIUM BLVD.
SUITE B
JONESBORO, AR
ZIP 72401
Phone: (870) 972-2054
The NPI 1568515930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.