Individual
JENNIFER TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
500 PRIMROSE CV, MEMPHIS, TN 38117-3645
(901) 605-7688
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
20415
TN
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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