| NPI | 1174863351 |
|---|---|
| Former Name | BARBARA A TACKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9453346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 30598) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18213) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 263814) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9453346) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2022-07-21 |