Tackett, Tiffany Ann

Tackett, Tiffany Ann is an individual health care provider with primary practice located at 6701 Heritage Pkwy Ste 165 , Rockwall TX 75087-8700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tackett, Tiffany Ann can be contacted via phone (469) 786-5890.

Contact Information

Primary practice address
6701 Heritage Pkwy Ste 165 Rockwall TX 75087-8700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 957191 Texas

Profile Details

NPI number 1295388486
LBN Legal business name Tackett, Tiffany Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Mar 2nd, 2020 - about 4 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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