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Contact Information

TARYN N BOOM, DNP, APRN, CNP
300 2ND AVE NE
JAMESTOWN, ND58401
 Phone: 701-251-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TARYN N BOOM · (Female)

NPI Number 1669855151
Status Active
Credentials DNP, APRN, CNP
Entity Individual
Enumeration date 07/02/2015
Last updated 05/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ND License # R34186
Hospital affiliation(s)
  • JAMESTOWN REGIONAL MEDICAL CENTER - (Critical Access)
    2422 20TH ST SW
    JAMESTOWN, ND 58401
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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