Andrea Jo Tackett, aprn
Nurse Practitioner, Adult Health in Ashland, KY. Individual provider (NPI-1).
NPI number1629611751
StatusActive
Last updated in NPPESSep 15, 2020
Details
- NPI
- 1629611751
- Entity type
- Individual (NPI-1)
- Name
- Andrea Jo Tackett
- Credential
- aprn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2019
- Certification date
- Sep 15, 2020
- Last updated
- Sep 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 3013898 | KY | Yes |
Practice location
2500 State Route 5Ashland, KY 41102-9102
Phone 606-408-4000
Mailing address
Po Box 1595Ashland, KY 41105-1595
Phone 606-408-9571 · Fax 606-408-6061
Other practice locations
250 McDavid Blvd
Grayson, KY 41143-1603
Grayson, KY 41143-1603
Phone 606-474-7835 · Fax 606-474-8114
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Other Adult Health Nurse Practitioner providers in Ashland, KY
- Tara Delynne Crank, APRNNPI 1487082301
- Donna L Herndon, ARNPNPI 1144373697
- Jennifer Lynn Howard, APRNNPI 1396235198
- Christina Michelle Parsons, APRNNPI 1679973804
All 5 Adult Health Nurse Practitioner providers in Ashland · All 2,202 providers in Ashland
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