Individual
MS. JESSICA NICOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
2909 N PINEWAY DR, PLANT CITY, FL 33566-4045
(813) 730-0846
Mailing address
2909 N PINEWAY DR, PLANT CITY, FL 33566-4045
(813) 730-0846
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12638
FL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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