Jessica Tackaberry, MSN, FNP-BC
NPI 1215704184 · Nurse Practitioner · Warren, MI
Jessica Tackaberry, MSN, FNP-BC is a Nurse Practitioner provider in Warren, MI (NPI 1215704184).
Provider details
- NPI number
- 1215704184
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704296939 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-10
Frequently asked questions
- What is Jessica Tackaberry's NPI number?
- Jessica Tackaberry's National Provider Identifier (NPI) is 1215704184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Tackaberry's specialty?
- Jessica Tackaberry is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Tackaberry located?
- Jessica Tackaberry's practice location on file with NPPES is 31051 Gardendale Dr, Warren, MI 48088-2056.
- What is Jessica Tackaberry's phone number?
- The practice phone number listed in the NPPES registry for Jessica Tackaberry is (586) 350-6512.
- Is Jessica Tackaberry's NPI active?
- Yes — Jessica Tackaberry's NPI (1215704184) is active in the NPPES registry as of the last update on 2023-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.