Individual provider · Type 1 NPI

Jessica Renee Tackett, NP-C

Family Nurse Practitioner · Salyersville, KY

NPI number 1801448444 Active

Practice location

571 Parkway Dr
Salyersville, KY 41465-9248

Mailing address

PO Box 143
Shelbiana, KY 41562-0143

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X3013573 (KY)
Family Nurse Practitioner Primary 363LF0000X3013573 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1801448444

Jessica Renee Tackett, NP-C's National Provider Identifier is 1801448444, issued on Jul 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salyersville, KY. The record was last updated on Mar 30, 2020.