Individual
AMY LEANA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 ELECTRIC AVE STE 100D, WATKINSVILLE, GA 30677-2608
(706) 518-6986
(855) 576-4188
Mailing address
17 COURTLAND RD, JEFFERSON, GA 30549-3585
(770) 519-4639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216188
GA
363LF0000X
Family Nurse Practitioner
Primary
RN216188
GA
Other
Enumeration date
07/24/2020
Last updated
10/07/2024
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