Individual
TERESA LYN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WHNP-BC
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(660) 785-4182
Mailing address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(660) 785-4182
(660) 785-4011
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
104137
MO
Other
Enumeration date
05/04/2007
Last updated
03/02/2021
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