Individual
JOHN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7518
Mailing address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7518
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020008494
MO
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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