Individual
KRISTA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 WATERMELON RD, NORTHPORT, AL 35473-5197
(205) 343-2811
(205) 391-0900
Mailing address
4401 WATERMELON RD, NORTHPORT, AL 35473-5197
(205) 343-2811
(205) 391-0900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-131356
AL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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