Deadra Renea Tucker APN

NPI 1174828180 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1174828180
Gender Female
Enumeration Date 01/22/2011
Last Updated 11/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1802 N JACKSON ST
SUITE 8
TULLAHOMA TN, 37388-8218, US
Phone (931) 455-4520
Fax (931) 455-4633
Business Location
908 FANNING HOLLOW RD
BELVIDERE TN, 37306-2722, US
Phone (931) 759-4949
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number 15536
Remove 1174828180 NPI Number
 

According to our database, Deadra Renea Tucker APN NPI is 1174828180, taxonomy code is 363LF0000X and license number is 15536, license state is located at Tennessee. Deadra Renea Tucker APN physically located at 1802 N Jackson St, Tullahoma TN, 37388-8218. NPI Number Deadra Renea Tucker APN has the Individual type.

Sponsored links

1174828180 NPI number is provided on an as is basis without warranty of any kind. 1174828180 is maintained by the National Plan & Provider Enumeration System. The contents of Deadra Renea Tucker APN are for informational purposes only.