Individual
AMANDA R TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2012 S PARK AVE, ALEXANDRIA, IN 46001-8194
(765) 724-6226
Mailing address
2012 S PARK AVE, ALEXANDRIA, IN 46001-8194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007129A
IN
Other
Enumeration date
04/26/2017
Last updated
05/23/2022
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