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Individual

HANNAH KATE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
103 FAIRVIEW POINTE DR, SIMPSONVILLE, SC 29681-3223
(864) 881-8500
Mailing address
PO BOX 31665, CHARLOTTE, NC 28231-1665
(843) 793-6980

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-153942
AL
363LF0000X
Family Nurse Practitioner
Primary
26515
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
07/14/2022
Last updated
10/29/2025
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