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Andrea Jo Tackett, APRN
Adult Health Nurse Practitioner in Ashland, Kentucky
NPI 1629611751

Andrea Jo Tackett is an Adult Health Nurse Practitioner based in Ashland, KY and is specialized in Adult Health. Andrea Jo Tackett practices in Ashland, KY and has the professional credentials of APRN. The NPI Number for Andrea Jo Tackett is 1629611751 and holds a License No. 3013898 (Kentucky).

The current practice location address for Andrea Jo Tackett is 2500 State Route 5, Ashland, KY and can be reached out via phone at 606-408-4000.

Location: 2500 State Route 5, Ashland, KY, 41105-1595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629611751
Provider Name
Andrea Jo Tackett
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2500 State Route 5, Ashland, KY, 41105-1595
Phone Number
606-408-4000
Fax Number
Provider Enumeration Date
10/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 State Route 5
City
Ashland
State
Kentucky
Zip
41102-9102
Phone Number
606-408-4000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 State Route 5
City
Ashland
State
Kentucky
Zip
41102-9102
Phone Number
606-408-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
3013898 (Kentucky)
Definition
Definition to come...
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