Individual provider · Type 1 NPI

Kayla Shane Tackett, PMHNP-BC, APRN

Psychiatric/Mental Health Nurse Practitioner · Pikeville, KY

NPI number 1104521657 Active

Practice location

484 Tollage Crk
Pikeville, KY 41501-3305

Fax (606) 437-3001

Other practice locations

  • 140 Adams Ln Ste 300, Pikeville, KY 41501-3088 · (606) 230-2255
  • 2643 King Kelly Coleman Hwy, Wayland, KY 41666 · (606) 531-4040

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4000516 (KY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104521657

Kayla Shane Tackett, PMHNP-BC, APRN's National Provider Identifier is 1104521657, issued on Apr 4, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pikeville, KY. The record was last updated on Aug 3, 2023.