Individual
MS. HEATHER LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2019 SWEET BAY DR, VILLA RICA, GA 30180-5866
(614) 288-1344
Mailing address
2019 SWEET BAY DR, VILLA RICA, GA 30180-5866
(614) 288-1344
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN282857
GA
Other
Enumeration date
05/23/2012
Last updated
11/18/2019
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