IndividualActive
Shaylon Tanner, LPN IV
NPI 1750007365 · Licensed Practical Nurse · Jackson, TN
Provider details
- NPI number
- 1750007365
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN IV
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPN0000065644 (TN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
295 Summar Dr
Jackson, TN 38301-3905
Phone: (731) 421-6783
Street-level locationGet directions
Mailing address
219 W Broad St
Dyer, TN 38330-1403
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2022-10-14
- Certified
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.