Individual
ANGELA DENISE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2281 BUTTON CT, CLARKSVILLE, TN 37040
(615) 618-2885
Mailing address
2281 BUTTON CT, CLARKSVILLE, TN 37040
(615) 618-2885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177806
TN
163WH0200X
Home Health Registered Nurse
177806
TN
163WH1000X
Hospice Registered Nurse
177806
TN
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
177806
TN
Other
Enumeration date
10/15/2021
Last updated
02/07/2025
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