Individual
SARAH R TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10326 N JULIET CT STE A, PEORIA, IL 61615-1116
(309) 570-1016
(309) 570-1017
Mailing address
10326 N JULIET CT STE A, PEORIA, IL 61615-1116
(309) 570-1016
(309) 570-1017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014150
IL
363LW0102X
Women's Health Nurse Practitioner
2015009464
MO
Other
Enumeration date
04/01/2015
Last updated
10/29/2023
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