Tackitt, Amanda Jo

Tackitt, Amanda Jo is an individual health care provider with primary practice located at 920 University St , Martin TN 38237-1605. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tackitt, Amanda Jo can be contacted via phone (931) 588-5829.

Contact Information

Primary practice address
920 University St Martin TN 38237-1605
Phone: (931) 588-5829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 57926 Tennessee

Profile Details

NPI number 1881035962
LBN Legal business name Tackitt, Amanda Jo
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2013
Last updated Jul 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881035962 NPPES
Tennessee Other 57925 LPN

Popular Providers