Individual
KALISTA SHEA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 BOONE HEIGHTS DR # A, BOONE, NC 28607-4926
(828) 386-2663
Mailing address
232 BOONE HEIGHTS DR # A, BOONE, NC 28607-4926
(828) 386-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16758
NC
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
05/04/2026
Last updated
07/24/2026
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