Individual provider · Type 1 NPI

Kaysha Tucker, LPN

Licensed Practical Nurse · Warren, OH

NPI number 1164020467 Active

Practice location

3120 W Market St
Warren, OH 44485-3069

Mailing address

535 Marmion Ave
Youngstown, OH 44502-2323

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN175729-MEDS-IV (OH)

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 1164020467

Kaysha Tucker, LPN's National Provider Identifier is 1164020467, issued on Oct 9, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Warren, OH. The record was last updated on Oct 9, 2020.