Individual
SABRINA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 NICHOLASVILLE RD, SUITE 702, LEXINGTON, KY 40503-1404
(859) 264-8811
(859) 264-8822
Mailing address
1720 NICHOLASVILLE RD, SUITE 702, LEXINGTON, KY 40503-1404
(859) 264-8811
(859) 264-8822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010418
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
3010418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100414070
—
KY
Enumeration date
07/22/2016
Last updated
09/14/2016
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