# DEJANEA TUCKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235834698
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R219532 | MD | — |
| 163W00000X | Registered Nurse | RN1046777 | DC | — |
| 363L00000X | Nurse Practitioner | R219532 | MD | Yes |
| 363LF0000X | Family Nurse Practitioner | NP1046777 | DC | — |
| 363LF0000X | Family Nurse Practitioner | R219532 | MD | — |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 09/17/2025