Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN TACKETT, FNP
ActiveBENJAMIN TACKETT, FNP is a Family Nurse Practitioner healthcare provider located in LOGAN, West Virginia. NPI 1265959704 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LOGAN, WV
Registration Details
- NPI Number
- 1265959704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2017 (8.951438913978 yrs)
- Last Updated
- Aug 25, 2017
- License
-
66717 (WV)
Practice Information
- Address
-
140 STOLLINGS AVE STE 1LOGAN, WV, 256014035Browse WV providers · Browse ZIP 25601
- Phone
- 3047522555
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in LOGAN, WV
| Name | Credential | NPI |
|---|---|---|
| ANDREA BLEDSOE | CFNP | 1861457160 |
| TERESA ANN MCNEELY | CFNP | 1235194523 |
| TIMOTHY M REED | FNP | 1033398821 |
| MRS. AMBER ELLIS | FNP-BC | 1093049983 |
| MRS. DARLENE MICHELE FIELDS | FNP-BC | 1164738530 |
| STACY L JUSTICE | FNP-BC | 1699076547 |
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.