Individual
KRISTIN SHARP TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 E PARK AVE, VALDOSTA, GA 31602-3060
(229) 333-0277
(229) 241-1608
Mailing address
604 E PARK AVE, VALDOSTA, GA 31602-3060
(229) 333-0277
(229) 241-1608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN195188
GA
Other
Enumeration date
04/23/2019
Last updated
01/22/2020
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