person
Mrs. Emily Jane Tackett, CPNP
Pediatric Nurse Practitioner in Austell, Georgia
NPI 1063871994

Emily Jane Tackett is a Pediatric Nurse Practitioner based in Austell, GA and is specialized in Pediatrics. Emily Jane Tackett practices in Austell, GA and has the professional credentials of CPNP. The NPI Number for Emily Jane Tackett is 1063871994 and holds a License No. RN204462 (Georgia).

The current practice location address for Emily Jane Tackett is 3950 Austell Rd, Austell, GA and can be reached out via phone at 470-732-5201 and via fax at 470-792-5209.

Location: 3950 Austell Rd, Austell, GA, 30106-1121
person
Provider Profile Details
NPI Number
1063871994
Provider Name
Emily Jane Tackett
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
3950 Austell Rd, Austell, GA, 30106-1121
Phone Number
470-732-5201
Fax Number
470-792-5209
Provider Enumeration Date
02/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3950 Austell Rd
City
State
Zip
30106-1121
Phone Number
470-732-5201
Fax Number
470-792-5209
person
Provider Business Mailing Address Details
Address
3950 Austell Rd
City
State
Zip
30106-1121
Phone Number
470-732-5201
Fax Number
470-792-5209
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN204462 (Georgia)
Definition
Definition to come...
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