Individual provider · Type 1 NPI
Greta S. Tackett, RN
Psychiatric/Mental Health Registered Nurse · Prestonsburg, KY
NPI number
1801989900
Active
Practice location
104 S Front Ave
Prestonsburg, KY 41653-1614
Fax (606) 886-4433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 1075428 (KY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1801989900
Greta S. Tackett, RN's National Provider Identifier is 1801989900, issued on Oct 2, 2006. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Prestonsburg, KY. The record was last updated on Jul 8, 2007.