Tackett, Jessica Renee

Tackett, Jessica Renee is an individual health care provider with primary practice located at 571 Parkway Dr , Salyersville KY 41465-9248. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tackett, Jessica Renee can be contacted via phone (606) 349-6181.

Contact Information

Primary practice address
571 Parkway Dr Salyersville KY 41465-9248
Phone: (606) 349-6181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 3013573 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3013573 Kentucky

Profile Details

NPI number 1801448444
LBN Legal business name Tackett, Jessica Renee
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2019
Last updated Mar 30th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801448444 NPPES
Kentucky Other 3013573 KENTUCKY BOARD OF NURSING

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