Lookup NPI Numbers from the NPI Registry
NPI Profile for JEANINE M TACKLA in KELLER, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Registered Nurse First Assistant |
163WR0006X |
| NPI Number | 1255612537 |
|
| Status | Active | |
| Credentials | APRN, MSN, A-GNP-C, | |
| Entity | Individual | |
| Enumeration date | 08/31/2011 | |
| Last updated | 03/17/2026 - About 3 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEANINE M TACKLA, APRN, MSN, A-GNP-C,