Individual
NIKURA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1800 BUCKNER ST # A-120, SHREVEPORT, LA 71101-4440
(318) 429-2443
(318) 429-2440
Mailing address
1800 BUCKNER ST # A-120, SHREVEPORT, LA 71101-4440
(318) 429-2443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213815
LA
Other
Enumeration date
07/09/2020
Last updated
07/17/2024
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