Individual
EMILY A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
532 S CHURCH ST, TUPELO, MS 38804-4708
(662) 841-9096
Mailing address
532 S CHURCH ST, TUPELO, MS 38804-4708
(662) 841-9096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R869850
MS
Other
Enumeration date
12/16/2009
Last updated
02/15/2011
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