Individual
PAULA W. TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC,NP-C,ENP
Contact information
Practice address
55 WHITCHER ST NE STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
Mailing address
55 WHITCHER ST NE STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN173068
GA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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