Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER D. TACKETT, PA-C
ActiveHEATHER D. TACKETT, PA-C is a Surgical Physician Assistant healthcare provider located in SPRINGFIELD, Missouri. NPI 1164649471 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1164649471
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2007 (19.345391705504 yrs)
- Last Updated
- Sep 30, 2021
- Licenses
-
2007003918 (MO)PA-405 (AR)2007003918 (MO)
Practice Information
- Address
-
3801 S NATIONAL AVEWEST TOWER, SUITE 700SPRINGFIELD, MO, 658075210Browse MO providers · Browse ZIP 65807
- Phone
- 4178853888
- Fax
- 4178817268
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| DARIN C FINCHER | PA-C | 1205898459 |
| TRACI N ST CLAIR | P.A.-C. | 1053373696 |
| MATHEW CLAYTON REID | P.A. | 1972557114 |
| MARK ALLEN BROWN | P.A. | 1982651352 |
| RONALD ALVIN MCCALL | P.A. | 1518914985 |
| MRS. MELISSA ANDERSON | P.A.-C | 1598863045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.