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NPI Code Detail

MEDICARE: ALLISON TUCKER FNP-C

MEDICARE:   ALLISON  TUCKER  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0038077OH

General Provider Information

NPI Number : 1376367722
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON TUCKER FNP-C
Provider Business Mailing Address
First Line : 2508 PONTIAC DR
Second Line :
City : WEST HARRISON
State : IN
Zip : 47060-9141
Country : US
Telephone Number : 513-349-6760
Fax Number :
Provider Business Practice Location Address
First Line : 543 PARK AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45013-3033
Country : US
Telephone Number : 513-737-0257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2024
Last Update Date : 11/12/2024

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Directions to “ ALLISON TUCKER FNP-C” Practice Location

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