Ms. Jeanine Marie Tackla
APRN, MSN, A-GNP-C, | Nurse Practitioner - Gerontology
8739 Davis Blvd Ste 100, Keller
Texas, 76248-0309
817-476-1226
Ms. Jeanine Marie Tackla is a Keller, Texas based nurse practitioner who is specialized as Gerontology NP. Active license number of Ms. Jeanine Marie Tackla is 1114749 for Gerontology NP in Texas. Her current practice location is 8739 Davis Blvd Ste 100, Keller. Patients can reach her at 817-476-1226. Ms. Jeanine Marie Tackla is APRN, MSN, A-GNP-C, with specialization in Gerontology NP and her NPI number (Unique professional ID assigned by NPPES) is 1255612537.
Ms. Jeanine Marie Tackla is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
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 - Gerontology (AGNP) |
| Gender: | Female |
| Credentials: | APRN, MSN, A-GNP-C, |
| Practice Address: | 8739 Davis Blvd Ste 100, Keller,
Texas, 76248-0309 |
| Phone: | 817-476-1226 |
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: | 1255612537 |
| NPI Enumeration Date: | 31 Aug, 2011 |
| NPI Last Update On: | 17 Mar, 2026 |
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 NP | 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
8739 Davis Blvd Ste 100, Keller, Texas or can
call to book an appointment on 817-476-1226.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.