Individual
JULIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1722 SHAFFER ST STE 3, KALAMAZOO, MI 49048-1633
(269) 226-8295
(269) 226-7791
Mailing address
48240 70TH AVE, DECATUR, MI 49045-8110
(269) 436-0445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234344
MI
Other
Enumeration date
10/21/2015
Last updated
10/28/2021
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