National Provider Identifier

Luke William Tackentien, NP

Luke William Tackentien, NP is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 483-2320.

NPI 1932919271Jamestown, NYAcute Care Nurse Practitioner

Profile Overview

NPI
1932919271
Provider Type
Individual
Primary Specialty
Acute Care Nurse Practitioner
Enumeration Date
January 09, 2025
Last Updated
December 04, 2025

Practice Location

  • 15 S Main St Ste 110
  • Jamestown, NY 14701-6626

Phone: (716) 483-2320

Specialties

  • Acute Care Nurse Practitioner (363LA2100X)
Full Record
NPI
1932919271
Entity Type
Individual
Last Name
Tackentien
First Name
Luke
Middle Name
William
Credential
NP
Mailing Street Address
15 S Main St Ste 110
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6626
Mailing Country
US
Mailing Phone
(716) 483-2320
Mailing Fax
(716) 484-2582
Practice Street Address
15 S Main St Ste 110
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6626
Practice Country
US
Practice Phone
(716) 483-2320
Practice Fax
(716) 484-2582
Enumeration Date
January 09, 2025
Last Updated
December 04, 2025
Sex
Male
Sole Proprietor
No
Certification Date
December 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Acute Care Nurse Practitioner (363LA2100X)