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Amanda Jo Tackitt, LPN
Licensed Practical Nurse in Martin, Tennessee
NPI 1881035962

Amanda Jo Tackitt is a Licensed Practical Nurse based in Dresden, TN. Amanda Jo Tackitt practices in Martin, TN and has the professional credentials of LPN. The NPI Number for Amanda Jo Tackitt is 1881035962 and holds a License No. 57926 (Tennessee).

The current practice location address for Amanda Jo Tackitt is 920 University St, Martin, TN and can be reached out via phone at 931-588-5829.

Location: 920 University St, Martin, TN, 38225-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881035962
Provider Name
Amanda Jo Tackitt
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
920 University St, Martin, TN, 38225-1717
Phone Number
931-588-5829
Fax Number
Provider Enumeration Date
07/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57925 01 TN LPN
institution
Provider Business Practice Location Address Details
Address
920 University St
City
Martin
State
Tennessee
Zip
38237-1605
Phone Number
931-588-5829
Fax Number
person
Provider Business Mailing Address Details
Address
920 University St
City
Martin
State
Tennessee
Zip
38237-1605
Phone Number
931-588-5829
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
57926 (Tennessee)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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