National Provider Identifier
Jennifer Denise Tackett, RN
Jennifer Denise Tackett, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Elmira, NY and a listed phone number of (607) 737-4711.
Profile Overview
- NPI
- 1518714161
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 01, 2024
- Last Updated
- May 01, 2024
Practice Location
- 100 Washington St
- Elmira, NY 14901-2849
Phone: (607) 737-4711
Mailing Address
- 147 Robinwood Ave
- Elmira Heights, NY 14903-1509
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1518714161
- Entity Type
- Individual
- Last Name
- Tackett
- First Name
- Jennifer
- Middle Name
- Denise
- Credential
- RN
- Mailing Street Address
- 147 Robinwood Ave
- Mailing City
- Elmira Heights
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1509
- Mailing Country
- US
- Mailing Phone
- (814) 392-0581
- Practice Street Address
- 100 Washington St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2849
- Practice Country
- US
- Practice Phone
- (607) 737-4711
- Enumeration Date
- May 01, 2024
- Last Updated
- May 01, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)