Individual
MRS. AUTUMN RAE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
510 N GREEN ST, VALENTINE, NE 69201-1932
(402) 376-2525
Mailing address
510 N GREEN ST, VALENTINE, NE 69201-1932
(402) 376-2525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
116583
NE
363L00000X
Nurse Practitioner
CP001196
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CP001196
SD
Other
Enumeration date
02/27/2017
Last updated
04/10/2026
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