Individual provider · Type 1 NPI

Andrea Tackett, APRN

Nurse Practitioner · Edgewood, KY

NPI number 1114648060 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X301668 (KY)
Nurse Practitioner Primary 363L00000X3016680 (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 1114648060

Andrea Tackett, APRN's National Provider Identifier is 1114648060, issued on Sep 8, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Nov 3, 2022.