Individual
KATE TUCKER TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
5412 GLENSIDE DR STE B, HENRICO, VA 23228-3995
(804) 251-3364
(804) 999-0452
Mailing address
5374 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(540) 699-0226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024170529
VA
Other
Enumeration date
01/02/2013
Last updated
03/09/2026
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