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Individual

CHRISTINE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
675 JUSTICE WAY ROOM C0049, INDIANAPOLIS, IN 46203
(877) 465-6650
(804) 294-2775
Mailing address
18 OLD GRANDVIEW AVE, DALLAS, PA 18612-1115
(570) 479-8797
(833) 228-5591

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016436
PA
363LF0000X
Family Nurse Practitioner
SP016436
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/03/2016
Last updated
01/13/2025
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