Tackett, Carlyn E

Tackett, Carlyn E is an individual health care provider with primary practice located at 16 S Water St , Sapulpa OK 74066-4232. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tackett, Carlyn E can be contacted via phone (918) 347-9022.

Contact Information

Primary practice address
16 S Water St Sapulpa OK 74066-4232
Phone: (918) 347-9022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0113970 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 113970 Oklahoma

Profile Details

NPI number 1720610587
LBN Legal business name Tackett, Carlyn E
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2020
Last updated Apr 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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