Individual
BRITTANY TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013582
KY
Other
Enumeration date
09/18/2019
Last updated
04/23/2024
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