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

Jessica Tackaberry, MSN, FNP-BC

Individual provider Nurse Practitioner · NPI 1215704184

Jessica Tackaberry, MSN, FNP-BC is a Nurse Practitioner in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

31051 Gardendale Dr
Warren, MI 48088-2056
Phone: (586) 350-6512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704296939 (MI)

Record details

NPI number1215704184
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-BC
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 10, 2023

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