Heather D. Tackett in Springfield - Physician Assistant
Heather D. Tackett - NPI 1164649471
Heather D. Tackett is a Physician Assistant in Springfield, Missouri. Heather D. Tackett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather D. Tackett is 1164649471. The last update date is 2021-09-30.
Heather D. Tackett's current location address is Po Box 4024, Springfield, Missouri. You can contact this provider via phone number 4178853888 and fax number 4178817268. The mailing address for Heather D. Tackett is Po Box 4024, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather D. Tackett |
|---|---|
| Address | Po Box 4024, Springfield, Missouri |
| Phone Number | 4178853888 |
| Fax Number | 4178817268 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164649471 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2021-09-30 |
Provider Mailing Address Detail
| Address | Po Box 4024 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658084024 |
| Phone Number | 4178853888 |
| Fax Number | 4178817268 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2007003918 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Heather D. Tackett's unique identification number?
The Heather D. Tackett has been assigned the NPI (National Provider Identifier) Number 1164649471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Heather D. Tackett is geographically located?
The Heather D. Tackett is physically situated at the following location: Po Box 4024, Springfield, MO, 658084024.
What is the area of specialization for Heather D. Tackett, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Heather D. Tackett is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164649471 to Heather D. Tackett?
The Centers for Medicare & Medicaid Services assigned the 1164649471 to Heather D. Tackett on 2007-04-19.
As of what date was the information regarding Heather D. Tackett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heather D. Tackett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-30.