Tara Michele Dennison, MSN-ED, BSN, RN
Individual provider Active NPI College Health Registered Nurse · Rock Spring, GA
NPI 1093597239 · NPPES record last updated Oct 20, 2023
Key facts
- NPI
- 1093597239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- College Health Registered Nurse 163WC1400X
- License
- RN169796 (GA)
- Practice address
- 265 Bicentennial TRL
Rock Spring, GA 30739-2306 - Phone
- (706) 764-3840
- NPI assigned
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169796 | GA | MD | College Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | RN169796 | GA | Yes |
Addresses
Primary practice location
265 Bicentennial TRL
Rock Spring, GA 30739-2306
Mailing address
205 Clark St
Chickamauga, GA 30707-1430
Phone (423) 509-9254
Other names
- Tara Michele Higdon
Other providers in Rock Spring, GA
- Alc Hospice Care, LLC.
- Andrew Besh
- Calvary Healthcare, Inc
- Stephen Brent Clark
- David Stephen Cofer
- Stacey Michelle Foley
- Stacey Gilbreath
- Jennifer Nicole Hennon
- Highland Rivers Community Service Board
- Independent Physical Therapy of Ga, LLC
All providers in Rock Spring, GA · College Health Registered Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.