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Ms. Jeanine Marie Tackla, APRN,MSN,A-GNP-C,
Gerontology Nurse Practitioner in Decatur, Texas
NPI 1255612537

Jeanine Marie Tackla is a Gerontology Nurse Practitioner based in Ft Worth, TX and is specialized in Gerontology. Jeanine Marie Tackla practices in Decatur, TX and has the professional credentials of APRN,MSN,A-GNP-C,. The NPI Number for Jeanine Marie Tackla is 1255612537 and holds a License No. 095692 (Texas).

The current practice location address for Jeanine Marie Tackla is 800 Medical Center Dr Ste C, Decatur, TX and can be reached out via phone at 940-626-2110 and via fax at 940-626-2113.

Location: 800 Medical Center Dr Ste C, Decatur, TX, 76137-5754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255612537
Provider Name
Jeanine Marie Tackla
Credential
APRN,MSN,A-GNP-C,
Provider Entity Type
Individual
Gender
Female
Address
800 Medical Center Dr Ste C, Decatur, TX, 76137-5754
Phone Number
940-626-2110
Fax Number
940-626-2113
Provider Enumeration Date
08/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041214374 01 IL REGISTERED PROFESSIONAL NURSE
95094533 01 CA REGISTERED PROFESSIONAL NURSE
095692 01 CNOR, CRNFA
1114749 01 TX APRN-CNP
915559 01 TX REGISTERED PROFESSIONAL NURSE
institution
Provider Business Practice Location Address Details
Address
800 Medical Center Dr Ste C
City
Decatur
State
Texas
Zip
76234-3844
Phone Number
940-626-2110
Fax Number
940-626-2113
person
Provider Business Mailing Address Details
Address
800 Medical Center Dr Ste C
City
Decatur
State
Texas
Zip
76234-3844
Phone Number
940-626-2110
Fax Number
940-626-2113
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Registered Nurse First Assistant
Taxonomy
163WR0006X
License No.
1114749 (Texas)
Definition
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
095692 (Illinois)
Definition
Definition to come...
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