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
Primary
3016372
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.0041220
OH
Other
Enumeration date
09/19/2021
Last updated
01/20/2026
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