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Individual

NANCY TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
1000 HAWTHORNE AVE STE K, ATHENS, GA 30606-2168
(706) 286-8692
Mailing address
1000 HAWTHORNE AVE STE K, ATHENS, GA 30606-2168
(706) 286-8692

Taxonomy

Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
0000194496
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
275887
GA
363LW0102X
Women's Health Nurse Practitioner
APN0000022029
TN

Other

Enumeration date
01/26/2017
Last updated
03/18/2020
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