Individual
TIERNEY A KEETON-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN, AGPCNP-BC
Contact information
Practice address
3737 MARKET ST FL 10, PHILADELPHIA, PA 19104-5545
(215) 662-3202
Mailing address
3737 MARKET ST FL 10, PHILADELPHIA, PA 19104-5545
(215) 662-3202
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00686600
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
SP017528
PA
363LG0600X
Gerontology Nurse Practitioner
26NJ00686600
NJ
Other
Enumeration date
10/03/2015
Last updated
03/12/2026
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