Individual
SAMANTHA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, NC-BC
Contact information
Practice address
104 HOMER AVE, VOORHEES, NJ 08043-1041
(856) 981-2792
Mailing address
104 HOMER AVE, VOORHEES, NJ 08043-1041
(856) 981-2792
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
26NR23727800
NJ
163WG0000X
General Practice Registered Nurse
26NR23727800
NJ
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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