Individual provider · Type 1 NPI
Alivia Raye Tackett, APRN
Psychiatric/Mental Health Nurse Practitioner · Portsmouth, OH
NPI number
1124797113
Active
Practice location
915 10th St
Portsmouth, OH 45662-4152
Fax (740) 876-8691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0030114 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124797113
Alivia Raye Tackett, APRN's National Provider Identifier is 1124797113, issued on Sep 13, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portsmouth, OH. The record was last updated on Jun 26, 2026.