Individual
JONATHAN TUCKER PRIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 GREEN VALLEY RD STE 200, NEW ALBANY, IN 47150-4690
(812) 949-1002
Mailing address
2315 GREEN VALLEY RD STE 200, NEW ALBANY, IN 47150-4690
(812) 949-1002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001467A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
269628
KY
Other
Enumeration date
06/28/2021
Last updated
08/20/2024
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