Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN ZANE TACKTILL, DPM
ActiveDR. JORDAN ZANE TACKTILL, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in ROANOKE, Virginia. NPI 1942560727 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ROANOKE, VA
Registration Details
- NPI Number
- 1942560727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2012 (14.193824454494 yrs)
- Last Updated
- Jan 10, 2022
- Licenses
-
PO3534 (FL)0103301083 (VA)
Practice Information
- Address
-
222 WALNUT AVE SWROANOKE, VA, 240164723Browse VA providers · Browse ZIP 24016
- Phone
- 5403443668
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES M ZELEN | DPM | 1508837402 |
| MR. DAVID LAMONT NIELSON | DPM | 1053503961 |
| NATHAN JOHN YOUNG | DPM | 1841425600 |
| DR. COREY MICHAEL FIDLER | D.P.M. | 1942566252 |
| DR. BOYD JENSEN III | D.P.M. | 1831506146 |
| NATALIE ALLEN | DPM | 1912391293 |
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.