RACHEL ANDREA JONES-TACKETT CPNP-PC NPI 1083118673

NPI Information

NPI: 1083118673
Provider Name: RACHEL ANDREA JONES-TACKETT, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY
ZIP 40965
Phone: (606) 248-7778
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Rachel Andrea Jones-tackett, CPNP-PC is a pediatrics nurse practitioner in Middlesboro, KY. Rachel Andrea Jones-tackett, CPNP-PC NPI is 1083118673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3602 CUMBERLAND AVE STE B102
MIDDLESBORO, KY
ZIP 40965-614
Phone: (606) 248-7778

The NPI 1083118673 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 3/20/2018 and was last updated on 8/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		3012178	KENTUCKY	No
2	363LP0200X	Nurse Practitioner	Pediatrics	3012178	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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