Individual
SHARI-JO ANASTASIA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP - BC
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 491-0466
Mailing address
10201 RONDELL CT, ORLANDO, FL 32825-5984
(352) 604-0881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11028386
FL
Other
Enumeration date
09/07/2023
Last updated
04/10/2024
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