Individual
RYAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1550 HOTEL CIR N STE 450, SAN DIEGO, CA 92108-2933
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(855) 501-1004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95017024
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017024
CA
Other
Enumeration date
03/31/2021
Last updated
05/01/2026
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