Individual
CASANDRA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3202 NW 7TH ST, LINCOLN, NE 68521-3277
(402) 488-3322
(402) 488-1172
Mailing address
3202 NW 7TH ST, LINCOLN, NE 68521-3277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021
NE
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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