MRS. WANDA F TACKETT R.N.
NPI 1780722975
Registered Nurse - Community Health in Jacksboro, TN

Q: What is Wanda Tackett's NPI number?

The NPI number for Wanda Tackett is 1780722975. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Wanda Tackett's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Tackett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2007

162 SHARP PERKINS ROAD, JACKSBORO, TN 37757(423) 562-8351(423) 562-1593 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Wanda F Tackett R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. WANDA F TACKETT R.N. (NPI 1780722975) is an individual community health provider in Jacksboro, Tennessee, licensed in Tennessee (RN0000029117) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1780722975

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameMRS. WANDA F TACKETTCredential: R.N.

Location Address162 SHARP PERKINS ROADJacksboro, TN 37757-0418

Mailing AddressPo Box 418Jacksboro, TN 37757-0418 · (423) 562-8351 · Fax (423) 562-1593

Phone(423) 562-8351

Fax(423) 562-1593

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780722975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers

Taxonomy Code163WC1500X

License✔ Licensed in TN · RN0000029117

162 SHARP PERKINS ROAD, Jacksboro, TN 37757

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNON PAIGE OVERTON RN

Registered Nurse (Community Health)

162 SHARP PERKINS ROAD
JACKSBORO, TN 37757

Campbell County (423) 562-8351

MRS. MICHELE O LYNCH RN

Registered Nurse (Community Health)

162 SHARP PERKINS ROAD
JACKSBORO, TN 37757

Campbell County (423) 562-8351

STATE OF TENNESSEE

Public Health or Welfare

162 SHARP PERKINS ROAD
JACKSBORO, TN 37757

Campbell County (423) 562-8351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Tackett's NPI number?

The NPI number for Wanda Tackett is 1780722975. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Wanda Tackett located?

Wanda Tackett practices at 162 Sharp Perkins Road, Jacksboro, TN 37757. The listed phone number is (423) 562-8351.

What is Wanda Tackett's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Wanda Tackett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.