Vickie Lynn Tackett, NURSE

NPI #1760784961 in Waverly, Ohio

Provider Information

NPI Number: 1760784961
Entity Type: Individual
Name: Vickie Lynn Tackett, NURSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: NURSE
Enumeration Date: Nov 22, 2010
Last Updated: Nov 22, 2010

Practice Location

Address: 2983 BUCHANAN RD
City: Waverly
State: Ohio
ZIP Code: 45690-9223
Phone: (740) 947-7429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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