TANYA TACKETT
Licensed Practical Nurse
Active
Individual
NPI: 1770224982
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | 2039581 (KY) |
| Licensed Practical Nurse | 164W00000X | Yes | 2039581 (KY) |
Frequently Asked Questions
NPI 1770224982 is the National Provider Identifier for TANYA TACKETT, a Licensed Practical Nurse provider located in Grayson, KY. This NPI was enumerated on April 5, 2022.
TANYA TACKETT practices at 840 INTERSTATE DR, Grayson, KY 41143.
Quick Facts
- NPI
- 1770224982
- Type
- Individual
- Enumerated
- Apr 5, 2022
- Last Updated
- Feb 28, 2025
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