NPI age
14 years
Enumerated 2011-08-31
● Active
Type 1 · Individual
MS. Jeanine Marie Tackla, APRN, MSN, A-GNP-C,
Tackla is 1 of 1 nurse practitioner providers in Keller and 1 of 1011 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1011 active nurse practitioner providers in Texas.
NPI age
14 years
↑ 8 yr above median (6 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 40% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Practice location
8739 Davis Blvd Ste 100
Keller, TX 762480309
Mailing address
8408 Fort Union Ct
Ft Worth, TX 761375754
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Registered NurseA perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 041214374 | REGISTERED PROFESSIONAL NURSE |
| 01 (CA) | 95094533 | REGISTERED PROFESSIONAL NURSE |
| 01 | 095692 | CNOR, CRNFA |
| 01 (TX) | 1114749 | APRN-CNP |
| 01 (TX) | 915559 | REGISTERED PROFESSIONAL NURSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.