IndividualActive
Jennifer Tackitt, APRN
NPI 1730667833 · Family Nurse Practitioner · Cusick, WA
Provider details
- NPI number
- 1730667833
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- AP60883510 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1821 Leclerc Rd N Ste 1
Cusick, WA 99119-5015
Phone: (509) 447-7111
Approximate (ZIP-level) locationGet directions
Mailing address
15827 E Frideger Rd
Elk, WA 99009-7009
Registry dates
- Enumerated
- 2018-07-31
- Last updated
- 2018-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.