Individual
KIMBERLY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
3209 LONDON CT, PEARLAND, TX 77581-8501
(979) 888-3945
Mailing address
3209 LONDON CT, PEARLAND, TX 77581-8501
(979) 888-3945
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1123846
TX
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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