Rosebud H Tucker NP

NPI 1639238967 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1639238967
Gender Female
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9465 HWY 5
DOUGLASVILLE GA, 30135, US
Phone (713) 935-0333
Fax
Business Location
6951 BABBLING BROOK DR
REX GA, 30273-2431, US
Phone (770) 961-5198
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Georgia
License Number RN16109
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According to our database, Rosebud H Tucker NP NPI is 1639238967, taxonomy code is 363L00000X and license number is RN16109, license state is located at Georgia. Rosebud H Tucker NP physically located at 9465 Hwy 5, Douglasville GA, 30135. NPI Number Rosebud H Tucker NP has the Individual type.

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1639238967 NPI number is provided on an as is basis without warranty of any kind. 1639238967 is maintained by the National Plan & Provider Enumeration System. The contents of Rosebud H Tucker NP are for informational purposes only.