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

Tara Lisa Waggoner, FNP, APN-BC

Individual provider Family Nurse Practitioner · NPI 1568515930

Tara Lisa Waggoner, FNP, APN-BC is a Family Nurse Practitioner in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

333 Stadium Blvd Ste B
Jonesboro, AR 72401
Phone: (870) 972-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A01852 (AR)

Record details

NPI number1568515930
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , APN-BC
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJuly 8, 2007

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