Individual provider · Type 1 NPI
Wanda F. Tackett, R.N.
Community Health Registered Nurse · Jacksboro, TN
NPI number
1780722975
Active
Practice location
162 Sharp Perkins Road
Jacksboro, TN 37757-0418
Fax (423) 562-1593
Mailing address
PO Box 418
Jacksboro, TN 37757-0418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | RN0000029117 (TN) |
Community Health Registered Nurse: Definition to come...
3 other providers at this address
Other community health registered nurse providers in Jacksboro
- Vida Lou Rains, RNCommunity Health Registered Nurse Jacksboro, TN NPI 1053458430
- Anne Marie WoodCommunity Health Registered Nurse Jacksboro, TN NPI 1194327163
- Amanda Charlene Broughton, R.N.Community Health Registered Nurse Jacksboro, TN NPI 1477691038
- Kathy Lynne Nelson, RNCommunity Health Registered Nurse Jacksboro, TN NPI 1548307473
- Shannon Paige Overton, RNCommunity Health Registered Nurse Jacksboro, TN NPI 1629412986
- Michele O. Lynch, RNCommunity Health Registered Nurse Jacksboro, TN NPI 1902948912
About NPI 1780722975
Wanda F. Tackett, R.N.'s National Provider Identifier is 1780722975, issued on Feb 1, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Jacksboro, TN. The record was last updated on Jul 8, 2007.