# MRS. JACKI NICHOLE TYUKODY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720505159
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WE0003X | Emergency Registered Nurse | RN.342266 | OH | — |
| 163WM0705X | Medical-Surgical Registered Nurse | RN.342266 | OH | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | RN.342266 | OH | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN.342266 | OH | Yes |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 07/21/2022