Individual provider · Type 1 NPI
Andrea Jo Tackett, APRN
Adult Health Nurse Practitioner · Ashland, KY
NPI number
1629611751
Active
Practice location
2500 State Route 5
Ashland, KY 41102-9102
Mailing address
PO Box 1595
Ashland, KY 41105-1595
Other practice locations
- 250 Mcdavid Blvd, Grayson, KY 41143-1603 · (606) 474-7835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 3013898 (KY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Ashland
- Donna L. Herndon, ARNPAdult Health Nurse Practitioner Ashland, KY NPI 1144373697
- Jennifer Lynn Howard, APRNAdult Health Nurse Practitioner Ashland, KY NPI 1396235198
- Tara Delynne Crank, APRNAdult Health Nurse Practitioner Ashland, KY NPI 1487082301
- Christina Michelle Parsons, APRNAdult Health Nurse Practitioner Ashland, KY NPI 1679973804
About NPI 1629611751
Andrea Jo Tackett, APRN's National Provider Identifier is 1629611751, issued on Oct 22, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ashland, KY. The record was last updated on Sep 15, 2020.