Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Tina Ann Theaker, LPN

Individual provider Licensed Practical Nurse · NPI 1184864480

MS. Tina Ann Theaker, LPN is a Licensed Practical Nurse in Fredericktown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

19880 Knox Lake Rd
Fredericktown, OH 43019-9669
Phone: (740) 694-1761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN095964 (OH)

Record details

NPI number1184864480
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 26, 2009
Last updated in NPPESFebruary 26, 2009

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