Individual provider · Type 1 NPI

Cathy Sue Tackett, APRN

Family Nurse Practitioner · South Shore, KY

NPI number 1912130048 Active

Practice location

142 Depot Dr
South Shore, KY 41175

Fax (606) 932-2273

Mailing address

PO Box 550
Vanceburg, KY 41179-0550

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3007355 (KY)
Family Nurse Practitioner 363LF0000X1083-NP (OH)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1912130048

Cathy Sue Tackett, APRN's National Provider Identifier is 1912130048, issued on Aug 24, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Shore, KY. The record was last updated on Mar 22, 2016.