Search › Indiana › 363L00000X
Jason Tackett, NP-C
NPI 1821304296 · on the registry since 2010
Practice
- Address
- 3500 Franciscan Way
Michigan City, IN 46360 - Phone
- (219) 852-1524
- Fax
- (219) 933-2288
- Organisation at this address
- Franciscan Health Michigan City
Franciscan Health Michigan City
Franciscan Health Michigan City
La Porte County Anesthesia Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 5841 S Maryland Ave, Chicago, IL
- 5841 S Maryland Ave, Chicago, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
163W00000X
363L00000X - Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-21
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 Indiana