Individual provider · Type 1 NPI

Tammy Keenum, LPN

Licensed Practical Nurse · Moulton, AL

NPI number 1043939218 Active

Practice location

295 Hospital St
Moulton, AL 35650-1210

Fax (256) 355-6092

Mailing address

1316 Somerville Rd SE Ste 1
Decatur, AL 35601-4309

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2-407831 (AL)

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 1043939218

Tammy Keenum, LPN's National Provider Identifier is 1043939218, issued on Aug 23, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Moulton, AL. The record was last updated on Aug 23, 2022.