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Mrs. Macy Marie Tackett, MSN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Fairlawn, Ohio
NPI 1871201285

Macy Marie Tackett is a Psychiatric/Mental Health Nurse Practitioner based in New Franklin, OH and is specialized in Psychiatric/Mental Health. Macy Marie Tackett practices in Fairlawn, OH and has the professional credentials of MSN,PMHNP-BC. The NPI Number for Macy Marie Tackett is 1871201285 and holds a License No. RN.453033 (Ohio).

The current practice location address for Macy Marie Tackett is 3094 W Market St Ste 360, Fairlawn, OH and can be reached out via phone at 614-987-8847.

Location: 3094 W Market St Ste 360, Fairlawn, OH, 44216-9441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871201285
Provider Name
Macy Marie Tackett
Credential
MSN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3094 W Market St Ste 360, Fairlawn, OH, 44216-9441
Phone Number
614-987-8847
Fax Number
Provider Enumeration Date
11/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3094 W Market St Ste 360
City
Fairlawn
State
Ohio
Zip
44333-3618
Phone Number
614-987-8847
Fax Number
person
Provider Business Mailing Address Details
Address
3094 W Market St Ste 360
City
Fairlawn
State
Ohio
Zip
44333-3618
Phone Number
614-987-8847
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
APRN.CNP.0035112 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
RN.453033 (Ohio)
Definition
Definition to come...
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