DR. Jessica Renea Tackett, D.O.

NPI #1346509478 in Greenbrier, Arkansas

Provider Information

NPI Number
1346509478
Entity Type
Individual
Name
DR. Jessica Renea Tackett, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
May 9, 2012
Last Updated
Sep 29, 2015

Practice Location

Address
49 S BROADVIEW ST STE 1
ZIP Code
72058-8011
Phone
(501) 679-4030

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Family Medicine

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