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Individual
DEJANEA TUCKER
Active
Individual
DEJANEA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R219532
MD
163W00000X
Registered Nurse
RN1046777
DC
363L00000X
Nurse Practitioner
Primary
R219532
MD
363LF0000X
Family Nurse Practitioner
NP1046777
DC
363LF0000X
Family Nurse Practitioner
R219532
MD
Other
Enumeration date
04/04/2023
Last updated
09/17/2025
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