Individual
CHRISTI MICHELLE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-4000
(432) 640-4606
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 638-0077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141167
TX
Other
Enumeration date
03/26/2019
Last updated
07/18/2019
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