Individual
JASMINE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W STATE ST, MILWAUKEE, WI 53233-1419
(414) 297-7208
Mailing address
700 W STATE ST, MILWAUKEE, WI 53233-1419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
240759-30
WI
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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