Samjoe gave a nice succinct answer. But I’d like to elaborate a little:
To get the slope of the tangent line, which is a derivative, we can use implicit differentiation:
The ellipse is $$\frac{x^2}{4}+y^2=1$$
Now find the derivative:
$$\frac{2x}{4}+2y\,y^\prime=0$$
$$2y\,y^\prime=-\frac{x}{2}$$
$$y^\prime=-\frac{x}{4y}$$
Now let's denote our tangent point on the ellipse as $(x_o,\,y_o)$ , and,
denoting the slope as $k$, we get:
$$k=-\frac{x_o}{4y_o}$$
So our general equation of the tangent line to the ellipse is
$$y-y_o=-\frac{x_o}{4y_o}(x-x_o)$$
Now we multiply the both sides of our equation by $y_o$:
$$y\,y_o-y_o^2=-\frac{x_o\,x}{4}+\frac{x_o^2}{4}$$
Now we rearrange the terms:
$$\frac{x_o\,x}{4}+y\,y_o=\frac{x_o^2}{4}+y_o^2$$
The right hand side of the equation $\frac{x_o^2}{4}+y_o^2=1\;$ because the point $(x_o,y_o)$ lies on the ellipse.
So we get $$\frac{x_o\,x}{4}+y\,y_o=1$$
This is the equation of our tangent line/lines. All we need to do now is to plug $x=0$ and $y=4$. We should not confuse the point/points $(x_o,y_o)$ on the ellipse and the point $(0,4)$ which is outside. So we get
$$0\cdot x_o+4\,y_o=1$$
and $\quad y_o=1/4.\quad$ Now it's trivial to find $\;x_o.\;$ We just plug $\; y_o=1/4\;$ into the equation of the
ellipse to get the values of $\; x_o$: $\quad x_o=±\sqrt{15}/2$
So, the two tangent points are $\;(-\sqrt{15}/2,\;\,1/4)\;$ and $\quad(\sqrt{15}/2,\;\,1/4)$
Hope it was helpful