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Individual
MEGAN NICOLE TUCKER
Active
Individual
MEGAN NICOLE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC; MSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1140618
KY
225700000X
Massage Therapist
KY-3478
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4010680
KY
Other
Enumeration date
02/18/2010
Last updated
03/04/2024
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