Individual
DIANE C TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 212A, ABINGDON, VA 24211-7664
(276) 258-3740
(276) 258-3745
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 212A, ABINGDON, VA 24211-7664
(276) 258-3740
(276) 258-3745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174575
VA
Other
Enumeration date
02/17/2017
Last updated
03/23/2017
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