Individual
KAREN LOUISE TUCCI-HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
521 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-1600
(252) 744-1115
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477648780
—
NC
05
—
7003775
—
NC
01
—
NN9952A
MEDICARE
NC
Enumeration date
10/03/2006
Last updated
06/21/2024
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