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Individual

ASHLEY TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1002 E CHERRY ST, CUSHING, OK 74023-4102
(918) 306-4515
Mailing address
1536 CRESTVIEW CT, CUSHING, OK 74023-4730
(918) 399-9434

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207490
OK

Other

Enumeration date
04/03/2022
Last updated
05/23/2023
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