Benjamin Tackett, FNP

NPI 1265959704 · on the registry since 2017

Practice

Address: 140 Stollings Ave Ste 1
Logan, WV 25601
Phone: (304) 752-2555
Organisation at this address: Subhash Bhanot, M.D., Inc
Healthy Habits Wellness Ctr, Inc
Healthy Habits Wellness Center Lab
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia