Individual
KERRY A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4781 KEARNEYSVILLE PIKE, SHEPHERDSTOWN, WV 25443-4666
(304) 876-3500
Mailing address
PO BOX 192, SHEPHERDSTOWN, WV 25443-0192
(304) 876-3500
(304) 254-6970
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
106714
WV
Other
Enumeration date
07/17/2020
Last updated
07/11/2025
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