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

Andrea Jo Tackett, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1629611751

Andrea Jo Tackett, APRN is a Nurse Practitioner in Ashland, Kentucky. Qualified in 2019, 7 years ago. Practices with Ashland Hospital Corporation, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2500 State Route 5
Ashland, KY 41102-9102
Phone: (606) 408-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 McDavid Blvd, Grayson, KY 41143-1603 — (606) 474-7835

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 3013898 (KY)

Record details

NPI number1629611751
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 22, 2019
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ashland Hospital Corporation — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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