Tackett, Heather D.

Tackett, Heather D. is an individual health care provider with primary practice located at 3801 S National Ave West Tower, Suite 700, Springfield MO 65807-5210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Tackett, Heather D. can be contacted via phone (417) 885-3888.

Contact Information

Primary practice address
3801 S National Ave West Tower, Suite 700 Springfield MO 65807-5210
Phone: (417) 885-3888
Fax: (417) 881-7268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2007003918 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-405 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2007003918 Missouri

Profile Details

NPI number 1164649471
LBN Legal business name Tackett, Heather D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Sep 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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