Individual provider · Type 1 NPI

Stacy Ann Tackett, RN, ANP-BC

Adult Health Nurse Practitioner · Dallas, TX

NPI number 1972805281 Active

Practice location

3600 Gaston Ave, Barnett Tower, Ste 605
Dallas, TX 75246-1800

Fax (214) 820-9258

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X595007 (TX)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1972805281

Stacy Ann Tackett, RN, ANP-BC's National Provider Identifier is 1972805281, issued on Nov 19, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dallas, TX. The record was last updated on Apr 12, 2022.