Individual
ELLEN JORDAN TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-8401
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13916
NC
Other
Enumeration date
12/05/2023
Last updated
01/25/2024
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