# TUCKER NURSE STAFFING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588334338
- **Authorized official:** ANGELA CHANEL HART (OWNER)
- **Authorized official phone:** (336) 265-1276

## Contact information

- **Practice address:** 1424 SEDONA LN, MC LEANSVILLE, NC 27301-9801
- **Practice address phone:** (336) 265-2765
- **Mailing address:** 5711 MCLEANSVILLE RD UNIT 548, MC LEANSVILLE, NC 27301-0257
- **Mailing address phone:** (336) 265-2765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2021
- **Last updated:** 09/14/2021