NPI 1285015503 · live from the CMS NPI Registry
James Benjamin Hackett, FNP-C
Nurse Practitioner, Family in Tucson, AZ. National Provider Identifier 1285015503, active.
NPI record
| NPI | 1285015503 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4729 E Camp Lowell Dr, Tucson, AZ 85712 |
| Practice phone | 520-838-3540 |
| Mailing address | 3709 N Campbell Ave, Ste 201, Tucson, AZ 85719 |
| Enumerated | June 11, 2015 |
| Last updated | January 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704291763 (MI) |
| Registered Nurse, Flight | 163WF0300X | RN141174 (AZ) |
| Nurse Practitioner, Family primary | 363LF0000X | AP8200 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.