Individual
JASON FLOYD TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-7100
(912) 871-7110
Mailing address
1058 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-7100
(912) 871-7110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN162699
GA
Other
Enumeration date
03/14/2012
Last updated
09/17/2020
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