Individual
TIFFANY MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S FLORIDA AVE STE 6, LAKELAND, FL 33801-5237
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11035710
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11035710
FL
Other
Enumeration date
01/21/2025
Last updated
03/20/2025
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