Tanya Tackett

NPI #1770224982 in Grayson, Kentucky

Provider Information

NPI Number
1770224982
Entity Type
Individual
Name
Tanya Tackett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 5, 2022
Last Updated
Feb 28, 2025

Practice Location

Address
840 INTERSTATE DR
ZIP Code
41143-1768
Phone
(606) 474-5151

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Licensed Practical Nurse

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