Individual
STEPHANIE A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
206 E STATE ST, COLUMBUS, OH 43215-4311
(216) 535-9100
Mailing address
206 E STATE ST, COLUMBUS, OH 43215-4311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.446594
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0028557
OH
Other
Enumeration date
12/16/2018
Last updated
10/19/2024
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