Individual provider · Type 1 NPI
Macy Marie Tackett, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fairlawn, OH
NPI number
1871201285
Active
Practice location
3094 W Market St Ste 360
Fairlawn, OH 44333-3618
Mailing address
6063 S Myers Rd
New Franklin, OH 44216-9441
Other practice locations
- 112 Harcourt Rd, Mount Vernon, OH 43050-3946 · (740) 326-6069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN.453033 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0035112 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1871201285
Macy Marie Tackett, MSN, PMHNP-BC's National Provider Identifier is 1871201285, issued on Nov 14, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairlawn, OH. The record was last updated on Nov 18, 2023.