Individual
ANNE ROMIG TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 539-4141
(228) 832-3364
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 867-5202
(228) 867-5007
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
R864139
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R864139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08189239
—
MS
Enumeration date
05/15/2008
Last updated
08/23/2019
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