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Individual
DAWN RENEE TUCKER
Active
Individual
DAWN RENEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9306602F
FL
363LF0000X
Family Nurse Practitioner
ARNP9306602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017198900
—
FL
01
—
H6569
BCBS
FL
01
—
P01655870
RAILROAD MCR
FL
Enumeration date
03/02/2015
Last updated
12/21/2018
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