Individual
MS. REBECCA JEAN TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 INDIAN HILLS CIR, VANCEBURG, KY 41179-8032
(606) 465-0600
Mailing address
406 INDIAN HILLS CIR, VANCEBURG, KY 41179-8032
(606) 465-0600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.118722.MEDS
OH
Other
Enumeration date
11/11/2025
Last updated
11/19/2025
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