Try disabling and re-enabling usb-debugging.
Also try this:
1: uninstall the driver in the device manager with option "delete the driver software for this device"
reconnect the Nexus tablet
2: let windows install a default driver which will be inadequate
3: uninstall again the device in the device manager with the option "delete the driver software for this device"
4: let windows try to find the driver, this process will fail
5: go back to the device manager and right click the failed device and update driver
6: choose the driver location in the android sdk directory (android/extra/google/usb_driver)