Provider Demographics
NPI:1366199325
Name:KING, TARYN COVINGTON (MSN, APRN, FNP - C)
Entity type:Individual
Prefix:MRS
First Name:TARYN
Middle Name:COVINGTON
Last Name:KING
Suffix:
Gender:F
Credentials:MSN, APRN, FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 CANTRELL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-2453
Mailing Address - Country:US
Mailing Address - Phone:501-661-0077
Mailing Address - Fax:
Practice Address - Street 1:8201 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-2453
Practice Address - Country:US
Practice Address - Phone:501-661-0077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR218976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily