Individual provider · Type 1 NPI

Tina Renee Ketter

Licensed Vocational Nurse · Desoto, TX

NPI number 1215549563 Active

Practice location

1019 Bluffview Dr
Desoto, TX 75115-3525

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X338389 (TX)

Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1215549563

Tina Renee Ketter's National Provider Identifier is 1215549563, issued on Aug 18, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Desoto, TX. The record was last updated on Aug 18, 2020.