Individual
MS. DANA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1551 AUGUSTA CHATHAM RD, AUGUSTA, KY 41002-9224
(606) 756-2117
(606) 756-2135
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
(606) 796-6221
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3006436
KY
363LW0102X
Women's Health Nurse Practitioner
6436P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050577
—
OH
05
—
7100113900
—
KY
Enumeration date
04/30/2010
Last updated
11/30/2011
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