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

Tara Lynn Blank, PA-C

Individual provider Physician Assistant · NPI 1841266053

Tara Lynn Blank, PA-C is a Physician Assistant in Port Huron, Michigan. Qualified in 2001, 25 years ago. Practices with McKenzie Memorial Hospital, a 32-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1231 Pine Grove Ave Ste 2A
Port Huron, MI 48060-3500
Phone: (810) 982-8742
Fax: (810) 984-8291
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003675 (MI)

Record details

NPI number1841266053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESApril 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice McKenzie Memorial Hospital — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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