ALIVIA RAYE TACKETT

PORTSMOUTH, OH
NPI1124797113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3016340)
Enumeration Date2021-09-13
Last Update Date2024-10-24
Business Address
ALIVIA RAYE TACKETT APRN
840 GALLIA ST
PORTSMOUTH, OH 45662-4232
Phone number: 740-354-0700
Mailing Address
ALIVIA RAYE TACKETT APRN
840 GALLIA ST
PORTSMOUTH, OH 45662-4232
Phone number: 740-354-0700
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