Jessica Renee Tackett (NPI# 1801448444, PAC ID# 4082046875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801448444 |
| PAC ID by PECOS | 4082046875 |
| Professional Enrollment ID | I20191115002902 |
| Full Name | Jessica Renee Tackett |
| Organization Legal Name | TAPESTRY TELEHEALTH PLLC |
| Address |
253 Cedar Hills Dr Pikeville KY 41501-8700 |
| Phone Number | 2035214730 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789942335 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180044 | PIKEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 253 Cedar Hills Dr, Pikeville, KY 41501-8700 | 2035214730 | TAPESTRY TELEHEALTH PLLC |
| Organization Legal Name | TAPESTRY TELEHEALTH PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Chess | Geriatric Medicine | Tapestry Telehealth Pllc | 1990 Elm St, Stratford, CT 06615-6331 |
| Courtney Patterson-manfredi | Nurse Practitioner | Tapestry Telehealth Pllc | 14925 E Tipperary Cir, Wichita, KS 67230-7034 |
| Chiedza Nwakudu | Nurse Practitioner | Tapestry Telehealth Pllc | 1 Hamilton Ln, Oak Brook, IL 60523-1762 |
| Denise Ann Hinders | Nurse Practitioner | Tapestry Telehealth Pllc | 9529 Wellbaum Rd, Brookville, OH 45309-9230 |
| Suzie R Mccann | Nurse Practitioner | Tapestry Telehealth Pllc | 516 S 67th Ave, Omaha, NE 68106-1110 |
| Mary C Whitbeck | Nurse Practitioner | Tapestry Telehealth Pllc | 5947 Gumwood Rd, Mound, MN 55364-1030 |
| Mary E Malen | Nurse Practitioner | Tapestry Telehealth Pllc | 1227 De Noailles Dr, Ballwin, MO 63011-3605 |
| Vikki Burleson-bryant | Nurse Practitioner | Tapestry Telehealth Pllc | 8 Amherst Ct, Johnson City, TN 37601-3263 |
| Stephanie Renee Roberts | Nurse Practitioner | Tapestry Telehealth Pllc | 133 Dogwood Hts, Langley, KY 41645-6508 |
| Jessica L Isnetto | Nurse Practitioner | Tapestry Telehealth Pllc | 132 9th Ave N, St Petersburg, FL 33701-1814 |
| Street Address |
253 CEDAR HILLS DR |
| City | PIKEVILLE |
| State | KY |
| Zip | 41501-8700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal A Green | Nurse Practitioner | Pikeville Medical Center Inc | 6800 Us, Suite 3, Pikeville, KY 41501 |
| Sujata R Gutti | Neurology | 515 N Bypass Rd, Suite 101, Pikeville, KY 41501-1331 | |
| Meredith Jarvis Reed | Optometry | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | |
| Maleshea Y Hopkins | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| William P Hoskins | Otolaryngology | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Antoinette Justice | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Jennifer B Kingery | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Kristi L Tackett | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Edward G Stiles | Family Medicine | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Elizabeth G Carter Maynard | Nurse Practitioner | Pikeville Medical Center Inc | 184 S Mayo Trail, Pikeville, KY 41501-1518 |
| Find all physicians in zip 41501 | |||
| City | PIKEVILLE |
| Zip Code | 41501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PIKEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Renee Tackett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.