Individual
DAWN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 458-6000
(816) 802-1260
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 458-6000
(816) 802-1260
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2010032927
MO
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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