Individual provider · Type 1 NPI

Robert William Tackett, LPN

Licensed Practical Nurse · Marietta, OH

NPI number 1336021617 Active

Practice location

112 Hanson Dr
Marietta, OH 45750-9414

Call (657) 487-8325 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X181637 (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 1336021617

Robert William Tackett, LPN's National Provider Identifier is 1336021617, issued on Jul 25, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marietta, OH. The record was last updated on Jul 25, 2025.