Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joseph Brandon Tackett, FNP-C

Individual provider Family Nurse Practitioner · NPI 1811547532

Joseph Brandon Tackett, FNP-C is a Nurse Practitioner in Ridgeland, Mississippi. Qualified in 2019, 7 years ago. Practices with Bw Medical LLC, a 7-clinician group. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1051 Highland Colony Pkwy
Ridgeland, MS 39157-8843
Phone: (601) 707-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903568 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TACK-9YD0RY (MS)

Record details

NPI number1811547532
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2019
Last updated in NPPESOctober 7, 2019

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 Bw Medical Llc — 7 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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