Individual provider · Type 1 NPI

Roberta Tackett, APRN, RN

Psychiatric/Mental Health Nurse Practitioner · Corbin, KY

NPI number 1710104716 Active

Practice location

1203 American Greeting Rd
Corbin, KY 40701-4811

Mailing address

PO Box 568
Corbin, KY 40702-0568

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X3002865 (KY)

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

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About NPI 1710104716

Roberta Tackett, APRN, RN's National Provider Identifier is 1710104716, issued on Apr 19, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Corbin, KY. The record was last updated on Mar 29, 2011.