Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Jackson

Organization Early Intervention Provider Agency · NPI 1093169823

Tara Jackson is an Early Intervention Provider Agency in Auburn, Kentucky. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

104 G Corum Ln
Auburn, KY 42206-5000
Phone: (270) 847-7004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1093169823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Jackson — Developmental Interventionist · (270) 847-7004
NPI enumeratedApril 18, 2016
Last updated in NPPESApril 18, 2016
Mailing address104 G Corum Ln, Auburn, KY 42206-5000

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