Tackett, Julie Tuttle

Tackett, Julie Tuttle is an individual health care provider with primary practice located at 1038 Bethania Rural Hall Rd , Rural Hall NC 27045-9552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tackett, Julie Tuttle can be contacted via phone (336) 716-9270.

Contact Information

Primary practice address
1038 Bethania Rural Hall Rd Rural Hall NC 27045-9552
Phone: (336) 716-9270
Fax: (336) 702-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005790 North Carolina

Profile Details

NPI number 1689924391
LBN Legal business name Tackett, Julie Tuttle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Dec 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689924391 NPPES
North Carolina MEDICAID 7006330

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