JENNIFER L TACKETT

AUSTIN, TX
NPI1376587600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000840A)
Enumeration Date2006-06-16
Last Update Date2024-01-09
Business Address
JENNIFER L TACKETT PA-C
11675 JOLLYVILLE RD STE 207
AUSTIN, TX 78759-4105
Phone number: 512-856-1000
Mailing Address
JENNIFER L TACKETT PA-C
11675 JOLLYVILLE RD STE 207
AUSTIN, TX 78759-4105
Phone number: 512-856-1000
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