Ms. Jeanine Marie Tackla is a Decatur, Texas based nurse practitioner. Active license number of Ms. Jeanine Marie Tackla is 1114749 for Gerontology in Texas. Her current practice location is 800 Medical Center Dr Ste C, Decatur. Patients can reach her at 940-626-2110 or can fax her at 940-626-2113. Ms. Jeanine Marie Tackla is APRN, MSN, A-GNP-C, and her NPI number (Unique professional ID assigned by NPPES) is 1255612537. Ms. Jeanine Marie Tackla has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Jeanine Marie Tackla speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Jeanine Marie Tackla
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APRN, MSN, A-GNP-C,
Practice Address:
800 Medical Center Dr Ste C, Decatur, Texas, 76234-3844
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:
1255612537
NPI Enumeration Date:
31 Aug, 2011
NPI Last Update On:
14 Sep, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jeanine Marie Tackla are as mentioned below.
License Number
Specialization
State
Status
1114749
Gerontology
Texas
Primary
095692
Registered Nurse
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Jeanine Marie Tackla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
041214374
Other
Illinois
REGISTERED PROFESSIONAL NURSE
95094533
Other
California
REGISTERED PROFESSIONAL NURSE
095692
Other
CNOR, CRNFA
1114749
Other
Texas
APRN-CNP
915559
Other
Texas
REGISTERED PROFESSIONAL NURSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Jeanine Marie Tackla 8408 Fort Union Ct, Ft Worth, Texas
Zip:
76137-5754
Phone Number:
847-224-9722
Patients can reach Ms. Jeanine Marie Tackla at 800 Medical Center Dr Ste C, Decatur, Texas or can call to book an appointment on 940-626-2110.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.