Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abigail Tackett, PA-C

Individual provider Physician Assistant · NPI 1043015571

Abigail Tackett, PA-C is a Physician Assistant in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2025.

Licensed in
OH
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009325RX (OH)

Record details

NPI number1043015571
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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