Individual provider · Type 1 NPI

David Thomas Tackett, APRN

Nurse Practitioner · Edgewood, KY

NPI number 1043821085 Active

Practice location

20 Medical Village Dr
Edgewood, KY 41017-5401

Fax (859) 578-5881

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1136773 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043821085

David Thomas Tackett, APRN's National Provider Identifier is 1043821085, issued on Aug 13, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Aug 13, 2020.