Individual provider · Type 1 NPI

Jackie Sue Tarr, LPN

Licensed Practical Nurse · Ponca City, OK

NPI number 1003062423 Active

Practice location

1417 Mcgraw Dr
Ponca City, OK 74601-2948

Call (580) 765-1926 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0018866 (OK)

Licensed Practical Nurse: 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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About NPI 1003062423

Jackie Sue Tarr, LPN's National Provider Identifier is 1003062423, issued on Aug 18, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ponca City, OK. The record was last updated on Aug 18, 2008.