| Mrs Joni Renae Tackett, LPN | |
|
2042 Sexton Rd, Austinburg, OH 44010-9706 | |
| (440) 969-3052 | |
| Not Available |
| Full Name | Mrs Joni Renae Tackett |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2042 Sexton Rd, Austinburg, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013030287 | NPI | - | NPPES |
| 2174016 | Other | OH | INDEPENDENT PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN 080897 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Joni Renae Tackett, LPN 2042 Sexton Rd, Austinburg, OH 44010-9706 Ph: (440) 969-3052 | Mrs Joni Renae Tackett, LPN 2042 Sexton Rd, Austinburg, OH 44010-9706 Ph: (440) 969-3052 |
Mrs. Betty Jean Tranchida, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2280 Rt 307, Austinburg, OH 44010 Phone: 440-275-1827 | |
Mrs. Grace Marie Shipley, PN-132199-MEDS Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1770 Forman Rd, Apt A, Austinburg, OH 44010 Phone: 440-855-8130 |