Individual
KHUDSIATU TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5632 ANNAPOLIS RD STE 11, BLADENSBURG, MD 20710-2213
(240) 486-7097
Mailing address
5632 ANNAPOLIS RD STE 11, BLADENSBURG, MD 20710-2213
(240) 486-7097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024179570
VA
363LF0000X
Family Nurse Practitioner
R166523
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0011097
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R166523
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831707488
—
VA
05
—
547056100
—
MD
Enumeration date
07/20/2020
Last updated
05/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us