MRS. Joni Renae Tackett, LPN
NPI #1013030287 in Austinburg, Ohio
Provider Information
- NPI Number
- 1013030287
- Entity Type
- Individual
- Name
- MRS. Joni Renae Tackett, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Mar 28, 2016
Practice Location
- Address
- 2042 SEXTON RD
- City
- Austinburg
- State
- Ohio
- ZIP Code
- 44010-9706
- Phone
- (440) 969-3052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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