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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Jeanine Marie Tackla, APRN, MSN, A-GNP-C,

Gerontology Nurse Practitioner in Keller, TX · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255612537

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Registry record

Entity type Individual (Type 1)
Name Ms. Jeanine Marie Tackla
Credential APRN, MSN, A-GNP-C,
Sex Female
Practice address Keller, TX, 76248
Phone (817) 476-1226
Enumeration date Aug 31, 2011
Last updated in NPPES Mar 17, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1114749 (TX) Primary
163WR0006X Registered Nurse First Assistant Nursing Service Providers · License 095692 (IL) Secondary
APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential

Other identifiers

Identifier Type State Issuer
041214374 Other IL REGISTERED PROFESSIONAL NURSE
95094533 Other CA REGISTERED PROFESSIONAL NURSE
095692 Other - CNOR, CRNFA
1114749 Other TX APRN-CNP
915559 Other TX REGISTERED PROFESSIONAL NURSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jeanine Tackla practice?
The practice location on file with NPPES is in Keller, TX. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jeanine Tackla?
The National Provider Identifier (NPI) for Jeanine Tackla is 1255612537, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-17.