Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL TACKETT
Active Sole ProprietorSAMUEL TACKETT is a Community Health Worker healthcare provider located in WAR, West Virginia. NPI 1578329595 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WAR, WV
Registration Details
- NPI Number
- 1578329595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2024 (2.459899521668 yrs)
- Last Updated
- Feb 27, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 SUSANNA RDWAR, WV, 248929001Browse WV providers · Browse ZIP 24892
- Phone
- 3048752452
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in WAR, WV
| Name | Credential | NPI |
|---|---|---|
| JENNIFER RATHBONE | — | 1326779901 |
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.