Jeffery Ray Tackett, APRN, PPCNP-C is a pediatrics nurse practitioner in Las Vegas, NV. Jeffery Ray Tackett, APRN, PPCNP-C NPI is 1376956789. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2650 N TENAYA WAY STE 308
LAS VEGAS, NV
ZIP 89128-102
Phone: (702) 870-2099
Fax: (702) 869-5347
The NPI 1376956789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/4/2014 and was last updated on 2/18/2021.