IndividualActive
Alivia Tackett, APRN
NPI 1124797113 · Psychiatric/Mental Health Nurse Practitioner · Portsmouth, OH
Provider details
- NPI number
- 1124797113
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3016340 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
840 Gallia St
Portsmouth, OH 45662-4232
Phone: (740) 354-0700
Fax: (740) 876-8691
Approximate (ZIP-level) locationGet directions
Mailing address
840 Gallia St
Portsmouth, OH 45662-4232
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.