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Individual
JESSICA LEANNE TUCKER
Active
Individual
JESSICA LEANNE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0031754
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0031754
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0031754
OH
Other
Enumeration date
09/08/2022
Last updated
10/24/2022
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