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General NPI Number Information
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NPI Number | 1164762498
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Entity Type | Individual
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Provider Name | BRITTNEY JAYNES TUCKER F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2013
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1356 UNION UNIVERSITY DR STE B
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City | JACKSON
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State | TN
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Zip | 38305-3780
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Country | US
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Telephone | 731-616-6660
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Fax |
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Provider Business Mailing Address
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Address Line | 11 QUAIL CREEK DR
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City | JACKSON
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State | TN
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Zip | 38305-8867
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Country | US
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Telephone | 731-499-2777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17386
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License Number State | TN
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