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JEANINE TACKLA, APRN, MSN, A-GNP-C,
APRN, MSN, A-GNP-C,
Gerontology Nurse Practitioner
NPI: 1255612537IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse First Assistant
Registered Nurse — Registered Nurse First Assistant
Code: 163WR0006X
095692(IL)
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
1114749(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 800 MEDICAL CENTER DR STE C
DECATUR, TX 76234 - Phone
- (940) 626-2110
Quick Facts
- NPI
- 1255612537
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 4
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