person
Jeffery Ray Tackett, APRN,PPCNP-C
Pediatric Nurse Practitioner in Las Vegas, Nevada
NPI 1376956789

Jeffery Ray Tackett is a Pediatric Nurse Practitioner based in Las Vegas, NV and is specialized in Pediatrics. Jeffery Ray Tackett practices in Las Vegas, NV and has the professional credentials of APRN,PPCNP-C. The NPI Number for Jeffery Ray Tackett is 1376956789 and holds a License No. 18745 (Nevada).

The current practice location address for Jeffery Ray Tackett is 2650 N Tenaya Way Ste 308, Las Vegas, NV and can be reached out via phone at 702-870-2099 and via fax at 702-869-5347.

Location: 2650 N Tenaya Way Ste 308, Las Vegas, NV, 89113-2133
person
Provider Profile Details
NPI Number
1376956789
Provider Name
Jeffery Ray Tackett
Credential
APRN,PPCNP-C
Provider Entity Type
Individual
Gender
Male
Address
2650 N Tenaya Way Ste 308, Las Vegas, NV, 89113-2133
Phone Number
702-870-2099
Fax Number
702-869-5347
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2650 N Tenaya Way Ste 308
City
State
Zip
89128-1102
Phone Number
702-870-2099
Fax Number
702-869-5347
person
Provider Business Mailing Address Details
Address
2650 N Tenaya Way Ste 308
City
State
Zip
89128-1102
Phone Number
702-870-2099
Fax Number
702-869-5347
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
18745 (Tennessee)
Definition
Definition to come...
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