Individual
HOLLY NICOLE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4439 STATE ROUTE 159 STE G70, CHILLICOTHE, OH 45601-7203
(740) 779-4393
Mailing address
4439 STATE ROUTE 159, CHILLICOTHE, OH 45601-8207
(740) 779-4393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0032936
OH
Other
Enumeration date
03/28/2023
Last updated
10/25/2023
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