Individual
MRS. KARA EARTHMAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 221B, HENDERSONVILLE, TN 37075-2379
(615) 822-3880
(615) 264-1664
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
22061
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6091937
BLUE CROSS BLUE SHIELD
SD
05
—
Q026121
—
TN
Enumeration date
12/01/2016
Last updated
12/17/2020
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