Individual
MEGAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
5 KEITH JETER RD, HATTIESBURG, MS 39401-9263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902034
MS
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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