Individual
MEGAN ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
181 E CENTER ST, PERRY, FL 32348-6410
(386) 247-3141
Mailing address
181 E CENTER ST, PERRY, FL 32348-6410
(386) 247-3141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5243693
FL
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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