Doctor profile · Federal record
Dr. Jeffery Tackett, APRN, PPCNP-C
Pediatric Nurse Practitioner · Pediatric Nurse Practitioner · Las Vegas, NV
- NPI 1376956789
- 12 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2650 N Tenaya Way Ste 308
Las Vegas, NV 891281102
(702) 870-2099
fax (702) 869-5347 - Mailing address
-
6355 S Buffalo Dr Fl 3
Las Vegas, NV 891132133
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- November 3, 2022
- Specialty taxonomy
- 363LP0200X — NUCC code
- State licenses (2)
- Nevada #APRN002155 · Tennessee #18745
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376956789. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$29
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 2 | $29.02 |
By nature of payment
Frequently asked questions
What is Dr. Jeffery Tackett's medical specialty?
Dr. Jeffery Tackett practices Pediatric Nurse Practitioner in Las Vegas, NV.
Where does Dr. Jeffery Tackett practice?
Dr. Jeffery Tackett practices at 2650 N Tenaya Way Ste 308, Las Vegas, NV 891281102. Office phone: 7028702099.
What is Dr. Jeffery Tackett's NPI?
Dr. Jeffery Tackett's National Provider Identifier (NPI) is 1376956789, issued by NPPES.