JESSICA TACKABERRY MSN, FNP-BC
NPI 1215704184
Nurse Practitioner in Warren, MI

Active since December 11, 2023
31051 GARDENDALE DR, WARREN, MI 48088(586) 350-6512 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner

About JESSICA TACKABERRY

This page provides the complete NPI Profile along with additional information for Jessica Tackaberry, a provider established in Warren, Michigan with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1215704184 assigned on December 2023. The practitioner's primary taxonomy code is 363L00000X with license number 4704296939 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1215704184 Verify this NPI
Provider Name
JESSICA TACKABERRY MSN, FNP-BC
Gender
Female
Entity Type
Individual
Location Address
31051 GARDENDALE DR WARREN, MI 48088
Location Phone
(586) 350-6512
Mailing Address
31051 GARDENDALE DR WARREN, MI 48088
Is Sole Proprietor?
No
Enumeration Date
12-11-2023
Last Update Date
12-11-2023
Code Navigator

A nurse practitioner (NP) like Jessica Tackaberry is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704296939
License State
MI
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215704184, enumerated as an "individual" on December 11, 2023.

The provider is located at 31051 GARDENDALE DR WARREN, MI 48088 and the phone number is (586) 350-6512.

Nurse Practitioner with taxonomy code 363L00000X.