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

Jeffery Ray Tackett, APRN, PPCNP-C

Individual provider Pediatric Nurse Practitioner · NPI 1376956789

Jeffery Ray Tackett, APRN, PPCNP-C is a Pediatric Nurse Practitioner in Las Vegas, Nevada. Licensed in Nevada and Tennessee. Registered with an NPI since 2014.

Licensed in
NV, TN
In the registry since
2014
Specialties on file
2
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

2650 N Tenaya Way Ste 308
Las Vegas, NV 89128-1102
Phone: (702) 870-2099
Fax: (702) 869-5347
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN002155 (NV)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 18745 (TN)

Record details

NPI number1376956789
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , PPCNP-C
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Other providers in Las Vegas