Individual
SUZANNE I TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3896
Mailing address
1203 MAPLE ST, SCHOOL HEALTH, GREENSBORO, NC 27405-6910
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
083166
NC
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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