HEATHER TACKETT, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1164649471
Practice Address
3801 S NATIONAL AVEWEST TOWER, SUITE 700
Springfield, MO 65807
Phone: (417) 885-3888
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 2007003918 (MO) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 2007003918 (MO) |
Frequently Asked Questions
NPI 1164649471 is the National Provider Identifier for HEATHER TACKETT, PA-C, a Physician Assistant - Surgical provider located in Springfield, MO. This NPI was enumerated on April 19, 2007.
HEATHER TACKETT, PA-C practices at 3801 S NATIONAL AVE, WEST TOWER, SUITE 700, Springfield, MO 65807.
Quick Facts
- NPI
- 1164649471
- Type
- Individual
- Enumerated
- Apr 19, 2007
- Last Updated
- Sep 30, 2021
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