Individual
KATHERINE DENISE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5000 FRANKFORD AVE, PHILADELPHIA, PA 19124-2620
(267) 819-1500
Mailing address
5000 FRANKFORD AVE, PHILADELPHIA, PA 19124-2620
(267) 819-1500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP030153
PA
Other
Enumeration date
07/18/2024
Last updated
07/08/2025
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