Individual provider · Type 1 NPI

Amanda Jo Tackitt, LPN

Licensed Practical Nurse · Martin, TN

NPI number 1881035962 Active

Practice location

920 University St
Martin, TN 38237-1605

Call (931) 588-5829 Map

Mailing address

485 Hudson Spring Rd
Dresden, TN 38225-1717

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	57926 (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.

22 other providers at this address

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About NPI 1881035962

Amanda Jo Tackitt, LPN's National Provider Identifier is 1881035962, issued on Jul 17, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Martin, TN. The record was last updated on Jul 17, 2013.