Individual provider · Type 1 NPI
Tracy Ann Derr, LPN
Licensed Practical Nurse · Hixson, TN
NPI number
1154550101
Active
Practice location
1238 Gadd Rd.
Hixson, TN 37343
Fax (423) 874-0094
Mailing address
1238 Gadd Rd
Hixson, TN 37343-3917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 0000066774 (TN) |
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.
About NPI 1154550101
Tracy Ann Derr, LPN's National Provider Identifier is 1154550101, issued on Jul 13, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hixson, TN. The record was last updated on Jul 13, 2009.