Individual
CRYSTAL FELITA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35 VILLAGE GREEN CIR, JACKSON, MS 39211-2931
(601) 573-7833
Mailing address
35 VILLAGE GREEN CIR, JACKSON, MS 39211-2931
(901) 258-6565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
888920
MS
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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