Individual
MS. STACY KATHERINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
APRN11025853
FL
367A00000X
Advanced Practice Midwife
09000282A
IN
367A00000X
Advanced Practice Midwife
Primary
11025853
FL
367A00000X
Advanced Practice Midwife
4704338854
MI
Other
Enumeration date
12/07/2016
Last updated
07/15/2025
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