Individual
MRS. JACKI NICHOLE TYUKODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3287 TOWNLINE RD, PERRY, OH 44081-9790
(440) 668-0911
Mailing address
3287 TOWNLINE RD, PERRY, OH 44081-9790
(440) 668-0911
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
RN.342266
OH
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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