Healthcare Provider Details

I. General information

NPI: 1508468745
Provider Name (Legal Business Name): MARIA TUCCI JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA KATHLEEN TUCCI

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 POPLAR AVE STE 18
MEMPHIS TN
38111-4667
US

IV. Provider business mailing address

1180 DOGWOOD LAKE CV PO BOX 381468
COLLIERVILLE TN
38017-3248
US

V. Phone/Fax

Practice location:
  • Phone: 901-417-6551
  • Fax:
Mailing address:
  • Phone: 901-270-4176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27860
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: