Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY RAY TACKETT, APRN, PPCNP-C
ActiveJEFFERY RAY TACKETT, APRN, PPCNP-C is a Pediatric Nurse Practitioner healthcare provider located in LAS VEGAS, Nevada. NPI 1376956789 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · LAS VEGAS, NV
Registration Details
- NPI Number
- 1376956789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2014 (12.223189695645 yrs)
- Last Updated
- Nov 3, 2022
- Licenses
-
18745 (TN)APRN002155 (NV)
Practice Information
- Address
-
2650 N TENAYA WAY STE 308LAS VEGAS, NV, 891281102Browse NV providers · Browse ZIP 89128
- Phone
- 7028702099
- Fax
- 7028695347
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH MARIE NOLL | NURSE/APN | 1689659393 |
| JENNIFER BUITRAGO | CPNP | 1073529822 |
| ARLENE BAYREDER | APRN | 1659389062 |
| OLGA R KALBERMATTER | APN | 1861569824 |
| MRS. JILL KATHLEEN SCHWARTZ | APN | 1023186889 |
| DR. GILDA ARCALES VILLAREAL | DRNP | 1043374069 |
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.