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

Mrs. Tara Jean Booth, NNP-BC

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1295009330

Mrs. Tara Jean Booth, NNP-BC is a Critical Care Neonatal Nurse Practitioner in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi and New Mexico.

Licensed in
MS, NM
In the registry since
2012
Specialties on file
2

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-2111

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 90018 (NM)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence R876166 (MS)

Record details

NPI number1295009330
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP-BC
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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