Individual
JENNIFER TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(301) 351-2353
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(301) 351-2353
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431077
NY
Other
Enumeration date
02/14/2017
Last updated
03/06/2023
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