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

Jennifer L Tackett, PA-C

Individual provider Physician Assistant · NPI 1376587600

Jennifer L Tackett, PA-C is a Physician Assistant in Austin, Texas. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

11675 Jollyville Rd Ste 207
Austin, TX 78759-4105
Phone: (512) 856-1000
Fax: (317) 888-1591
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000840A (IN)

Record details

NPI number1376587600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

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