Individual
KATHERINE MARIE TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2135 DANA AVE STE 410, CINCINNATI, OH 45207-1327
(513) 861-0222
(513) 861-5845
Mailing address
7527 STATE RD STE A, CINCINNATI, OH 45255-6408
(513) 861-0222
(513) 231-0223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028407
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0028407
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028407
OH
OH
Enumeration date
02/22/2021
Last updated
02/23/2026
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