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Individual
SHONDA LYNN TUCKER
Active
Individual
SHONDA LYNN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20385
TN
363LF0000X
Family Nurse Practitioner
3009676
KY
363LF0000X
Family Nurse Practitioner
Primary
APN0000020385
TN
Other
Enumeration date
09/10/2015
Last updated
11/20/2019
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