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NPI Code Detail

MEDICARE: MS. TARRA L EUBANKS APRN,FNP

MEDICARE: MS. TARRA L EUBANKS APRN,FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse97013TN
2363LF0000XFamily Nurse Practitioner97013TN
3363LF0000XFamily Nurse Practitioner0000006857TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871593111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TARRA L EUBANKS APRN,FNP
Provider Business Mailing Address
First Line : 8060 WOLF RIVER BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38138-1727
Country : US
Telephone Number : 901-271-1000
Fax Number : 901-271-2161
Provider Business Practice Location Address
First Line : 8060 WOLF RIVER BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38138-1727
Country : US
Telephone Number : 901-271-1000
Fax Number : 901-271-2161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 09/11/2025

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