Individual
LUKE WILLIAM TACKENTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15 S MAIN ST STE 110, JAMESTOWN, NY 14701-6626
(716) 483-2320
(716) 484-2582
Mailing address
15 S MAIN ST STE 110, JAMESTOWN, NY 14701-6626
(716) 483-2320
(716) 484-2582
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F433158-01
NY
Other
Enumeration date
01/09/2025
Last updated
12/04/2025
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