Individual
COURTNEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
11526 OLD HIGHWAY 43, AXIS, AL 36505-4305
(251) 591-7471
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
904215
MS
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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