Individual
REBECCA L TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1955 DIXIE HWY, SUITE D, FT WRIGHT, KY 41011-2792
(859) 341-5757
(859) 426-7134
Mailing address
1955 DIXIE HWY, SUITE D, FT WRIGHT, KY 41011-2792
(859) 341-5757
(859) 426-7134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78005840
—
KY
Enumeration date
07/17/2006
Last updated
02/05/2014
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