Individual provider · Type 1 NPI

Jim R. Tackett, PA-C

Physician Assistant · Lexington, KY

NPI number 1104882083 Active

Practice location

1101 Veterans Dr
Lexington, KY 40502-2235

Call (859) 233-4511 Map

Mailing address

2150 Elmfork Rd
Nicholasville, KY 40356-9619

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA553 (KY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104882083

Jim R. Tackett, PA-C's National Provider Identifier is 1104882083, issued on Apr 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lexington, KY. The record was last updated on Feb 24, 2011.