Individual
CRYSTAL GAIL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212
Mailing address
PO BOX 910530, LEXINGTON, KY 40591-0530
(877) 783-6257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4005614
KY
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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