Individual
JEAN M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, MS
Contact information
Practice address
1375 E SCHAUMBURG RD, SUITE 220, SCHAUMBURG, IL 60194-5166
(847) 895-4540
(847) 895-4544
Mailing address
1375 E SCHAUMBURG RD, SUITE 220, SCHAUMBURG, IL 60194-5166
(847) 895-4540
(847) 895-4544
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
209.008253
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-008253
LICENSE ADVANCE PRACTICE NURSE
IL
Enumeration date
08/31/2010
Last updated
09/16/2010
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