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Individual

TERESA D TUCKER

Active
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Individual

TERESA D TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN0000013057
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
13057
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3341539
TN
01
613360505
DOL FECA
01
APN0000013057
STATE LICENSE
TN
Enumeration date
11/30/2007
Last updated
12/13/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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