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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON PRESTON TACKETT, NP-C

Active

JASON PRESTON TACKETT, NP-C is a Nurse Practitioner healthcare provider located in MICHIGAN CITY, Indiana. NPI 1821304296 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MICHIGAN CITY, IN

Registration Details

NPI Number
1821304296
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2010 (15.941071825498 yrs)
Last Updated
Apr 21, 2025
Licenses
28164172A (IN)
041188540 (IL)
209012575 (IL)
71003469A (IN)

Practice Information

Address
3500 FRANCISCAN WAY
MICHIGAN CITY, IN, 463600021
Browse IN providers · Browse ZIP 46360
Phone
2198521524
Fax
2199332288
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse
Additional Specialty
Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in MICHIGAN CITY, IN

Name Credential NPI
CHAD D MCGUIRE NP 1467492579
MARY LUEDTKE FNP 1326081894
SHARON L FRIEDRICH NURSE PRACTITIONER 1831133081
BRENDA WINSKI NP 1174711618
AMY L MILLARD NP 1336455641
JENNIFA K THOMAS NP 1114282167
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.