Individual
LISA ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
773 SNAKE CREEK RD, COLUMBIA, KY 42728-7009
(270) 250-9459
Mailing address
773 SNAKE CREEK RD, COLUMBIA, KY 42728-7009
(270) 250-9459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1216157
TX
363LF0000X
Family Nurse Practitioner
15316
CT
363LF0000X
Family Nurse Practitioner
Primary
3016372
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.0041220
OH
Other
Enumeration date
09/19/2021
Last updated
07/28/2026
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