Individual
JORDYN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12708 E 116TH ST, FISHERS, IN 46037-7600
(317) 415-5800
Mailing address
12708 E 116TH ST, FISHERS, IN 46037-7600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37003449A
IN
Other
Enumeration date
10/12/2023
Last updated
03/27/2024
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