Individual
SARAH NICOLE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
Mailing address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
03/31/2026
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