Jeffery Ray Tackett
APRN, PPCNP-C | Nurse Practitioner - Pediatrics
2650 N Tenaya Way Ste 308, Las Vegas
Nevada, 89128-1102
702-870-2099
Jeffery Ray Tackett is a Las Vegas, Nevada based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Jeffery Ray Tackett is APRN002155 for Pediatrics in Nevada. His current practice location is 2650 N Tenaya Way Ste 308, Las Vegas. Patients can reach him at 702-870-2099 or can fax him at 702-869-5347. Jeffery Ray Tackett is APRN, PPCNP-C with specialization in Pediatrics and his NPI number (Unique professional ID assigned by NPPES) is 1376956789.
Jeffery Ray Tackett specializes in caring for newborns, infants, toddlers, adolescents and young adults. He perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Jeffery Ray Tackett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jeffery Ray Tackett |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Male |
| Credentials: | APRN, PPCNP-C |
| Practice Address: | 2650 N Tenaya Way Ste 308, Las Vegas,
Nevada, 89128-1102 |
| Phone: | 702-870-2099 |
| Fax: | 702-869-5347 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1376956789 |
| NPI Enumeration Date: | 04 Jun, 2014 |
| NPI Last Update On: | 03 Nov, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffery Ray Tackett are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN002155 | Pediatrics | Nevada | Primary | |
| 18745 | Pediatrics | Tennessee | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeffery Ray Tackett
6355 S Buffalo Dr Fl 3,
Las Vegas, Nevada |
| Zip: | 89113-2133 |
| Phone Number: | 702-216-3346 |
Patients can reach Jeffery Ray Tackett at
2650 N Tenaya Way Ste 308, Las Vegas, Nevada or can
call to book an appointment on 702-870-2099.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.