Individual provider · Type 1 NPI

Tamara L. Tackett, NP

Nurse Practitioner · Spartanburg, SC

NPI number 1861797151 Active

Practice location

101 E Wood St, Suite 401
Spartanburg, SC 29303-3040

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X4459 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1861797151

Tamara L. Tackett, NP's National Provider Identifier is 1861797151, issued on Jan 18, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Spartanburg, SC. The record was last updated on Apr 15, 2013.