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Individual
ELIZABETH TAYLOR TUCKER
Active
Individual
ELIZABETH TAYLOR TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN050297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-161608
ALABAMA NURSING LICENSE
AL
01
—
RN209597
LIC
GA
Enumeration date
10/06/2014
Last updated
07/21/2022
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