Tackett, Emily Jane

Tackett, Emily Jane is an individual health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106-1121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tackett, Emily Jane can be contacted via phone (470) 732-5201.

Contact Information

Primary practice address
3950 Austell Rd Austell GA 30106-1121
Phone: (470) 732-5201
Fax: (470) 792-5209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN204462 Georgia

Profile Details

NPI number 1063871994
LBN Legal business name Tackett, Emily Jane
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2016
Last updated Feb 20th, 2016 - about 10 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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