Individual
ELIZABETH TAYLOR TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
516 QUINTARD AVE, ANNISTON, AL 36201-5711
(256) 741-9799
(256) 741-9795
Mailing address
516 QUINTARD AVE, ANNISTON, AL 36201-5712
(256) 741-9799
(256) 741-9795
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN050297
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-161608
ALABAMA NURSING LICENSE
AL
01
—
RN209597
LIC
GA
Enumeration date
10/06/2014
Last updated
07/21/2022
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