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BENJAMIN TACKETT, FNP
FNP
Family Nurse Practitioner
NPI: 1265959704IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
66717(WV)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 140 STOLLINGS AVE STE 1
LOGAN, WV 25601 - Phone
- (304) 752-2555
Quick Facts
- NPI
- 1265959704
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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