Tackett, Tara L.

Tackett, Tara L. is an individual health care provider with primary practice located at 400 Court St Ste 100 , Charleston WV 25301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tackett, Tara L. can be contacted via phone (304) 347-6120.

Contact Information

Primary practice address
400 Court St Ste 100 Charleston WV 25301
Phone: (304) 347-6120
Fax: (304) 347-6142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 63856 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN63856-NP-C West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN63856-NP-C West Virginia

Profile Details

NPI number 1235585027
LBN Legal business name Tackett, Tara L.
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Sep 22nd, 2025 - about last year

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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