MS. Jeanine Marie Tackla, APRN, MSN, A-GNP-C,

NPI #1255612537 in Decatur, Texas

Provider Information

NPI Number
1255612537
Entity Type
Individual
Name
MS. Jeanine Marie Tackla, APRN, MSN, A-GNP-C,
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Gerontology
Credential
APRN, MSN, A-GNP-C,
Enumeration Date
Aug 31, 2011
Last Updated
Sep 14, 2023

Practice Location

Address
800 MEDICAL CENTER DR STE C
State
Texas
ZIP Code
76234-3844
Phone
(940) 626-2110

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Registered Nurse First AssistantRegistered Nurse First Assistant
Nurse Practitioner - GerontologyGerontology

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