Individual
CHRISTINA KAY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
900 N 1ST ST, SPRINGFIELD, IL 62702-3749
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
041.316029
IL
363LF0000X
Family Nurse Practitioner
Primary
209029824
IL
Other
Enumeration date
05/06/2024
Last updated
11/08/2024
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