Tackett, Roberta
Tackett, Roberta is an individual health care provider with primary practice located at 1203 American Greeting Rd , Corbin KY 40701-4811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tackett, Roberta can be contacted via phone (606) 528-7010.Contact Information
Primary practice address
1203 American Greeting Rd
Corbin KY 40701-4811
Phone: (606) 528-7010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3002865 | Kentucky |
Profile Details
| NPI number | 1710104716 |
|---|---|
| LBN Legal business name | Tackett, Roberta |
| Credentials | APRN, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Mar 29th, 2011 - about 14 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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