| Jessica Renee Tackett, NP-C | |
| 
					571 Parkway Dr, Salyersville, KY 41465-9248  | |
| (606) 349-6181 | |
| Not Available | 
| Full Name | Jessica Renee Tackett | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 571 Parkway Dr, Salyersville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801448444 | NPI | - | NPPES | 
| 3013573 | Other | KY | KENTUCKY BOARD OF NURSING | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 3013573 (Kentucky) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 3013573 (Kentucky) | Primary | 
| Entity Name | Ultacare Medical Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20181206002772  | 
| Entity Name | Tapestry Telehealth Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20190129002466  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Renee Tackett, NP-C Po Box 143, Shelbiana, KY 41562-0143 Ph: (859) 537-2311  | Jessica Renee Tackett, NP-C 571 Parkway Dr, Salyersville, KY 41465-9248 Ph: (606) 349-6181  | 
Heather Blair, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Parkway Dr, Salyersville, KY 41465 Phone: 606-298-3412  | |
Maria Tackett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 214 Beriah Blvd, Salyersville, KY 41465 Phone: 606-349-5126 Fax: 606-349-5123  | |
Samantha Nicole Mccarty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Wolfpen Br, Salyersville, KY 41465 Phone: 606-367-3334  | |
Lacy D. Russell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 268 E Maple St, Salyersville, KY 41465 Phone: 606-349-5300 Fax: 606-349-5312  | |
Christy Ann Allen, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3043 Down And Around Rd, Salyersville, KY 41465 Phone: 606-496-5243 Fax: 606-496-5243  | |
Mrs. Patsy Jackson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 787 Parkway Dr, Salyersville, KY 41465 Phone: 606-889-3221  | |
Kristen Predmore, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 842 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150  |