Jessica Renee Tackett, NP-C | |
571 Parkway Dr, Salyersville, KY 41465-9248 | |
(606) 349-6181 | |
Not Available |
Full Name | Jessica Renee Tackett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 571 Parkway Dr, Salyersville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801448444 | NPI | - | NPPES |
3013573 | Other | KY | KENTUCKY BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 3013573 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3013573 (Kentucky) | Primary |
Entity Name | Eric Hasemeier Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20181206002772 |
Entity Name | Tapestry Telehealth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20190129002466 |
Mailing Address | Practice Location Address |
---|---|
Jessica Renee Tackett, NP-C Po Box 143, Shelbiana, KY 41562-0143 Ph: (859) 537-2311 | Jessica Renee Tackett, NP-C 571 Parkway Dr, Salyersville, KY 41465-9248 Ph: (606) 349-6181 |
Heather Blair, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Parkway Dr, Salyersville, KY 41465 Phone: 606-298-3412 | |
Maria Tackett, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 214 Beriah Blvd, Salyersville, KY 41465 Phone: 606-349-5126 Fax: 606-349-5123 | |
Lacy D. Russell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 268 E Maple St, Salyersville, KY 41465 Phone: 606-349-5300 Fax: 606-349-5312 | |
Mrs. Patsy Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 787 Parkway Dr, Salyersville, KY 41465 Phone: 606-889-3221 | |
Wendy S Martin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Parkway Dr, Salyersville, KY 41465 Phone: 606-349-5123 | |
Kristen Predmore, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 842 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 | |
Sarah Ann Patrick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Hc 61 Box 535, Salyersville, KY 41465 Phone: 606-349-7710 Fax: 606-349-7720 |