Individual provider · Type 1 NPI

Shaylon Tanner, LPN IV

Licensed Practical Nurse · Jackson, TN

NPI number 1750007365 Active

Practice location

295 Summar Dr
Jackson, TN 38301-3905

Mailing address

219 W Broad St
Dyer, TN 38330-1403

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN0000065644 (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.

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About NPI 1750007365

Shaylon Tanner, LPN IV's National Provider Identifier is 1750007365, issued on Oct 14, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jackson, TN. The record was last updated on Oct 14, 2022.