Individual
MRS. CARRIE LYNN BRACKBILL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4601 CHARLOTTE PARK DR, CHARLOTTE, NC 28217-1915
(980) 321-3337
Mailing address
4901 CHESAPEAKE DR, CHARLOTTE, NC 28216-2905
(980) 321-3337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005333
NC
Other
Enumeration date
10/19/2011
Last updated
09/17/2014
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