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Individual
VANESSA LYNN TUCKER
Active
Individual
VANESSA LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
1099916
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017881
KY
Other
Enumeration date
12/08/2006
Last updated
06/17/2022
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