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Individual
SAMANTHA TUCKER
Active
Individual
SAMANTHA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS, ACGCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
0101047
OK
207RR0500X
Rheumatology Physician
101047
OK
364SA2200X
Adult Health Clinical Nurse Specialist
0101047
OK
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
R0101047
OK
Other
Enumeration date
08/15/2016
Last updated
08/03/2026
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