Search › Arkansas › 207Q00000X
Jessica Tackett, D.O
NPI 1346509478 · on the registry since 2012
Practice
- Address
- 49 S Broadview St Ste 1
Greenbrier, AR 72058 - Phone
- (501) 679-4030
- Organisation at this address
- Arkansas Health Group
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas