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

Tara Michele Nelson, PA

Individual provider Physician Assistant · NPI 1528052750

Tara Michele Nelson, PA is a Physician Assistant in Whiteman Air Force Base, Missouri. Practices as a sole proprietor. Licensed in Kansas and Missouri.

Licensed in
KS, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

331 Sijen Ave
Whiteman Air Force Base, MO 65305-1269
Phone: (660) 687-2188
Fax: (660) 687-2106
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PYA113653 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 15-00527 (KS)

Record details

NPI number1528052750
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 2, 2005
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

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