Individual
ASHLEY NICOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6000
Mailing address
12501 DOUGLAS DR, FORT SMITH, AR 72916-8416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214739
AR
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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