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NPI Code Detail

MEDICARE: AUBREY TUCKER

MEDICARE: AUBREY TUCKER
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 Practitioner253766TN

General Provider Information

NPI Number : 1770469769
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY TUCKER
Provider Business Mailing Address
First Line : 2075 PLEASANT PLAINS EXT RD
Second Line :
City : JACKSON
State : TN
Zip : 38305-6087
Country : US
Telephone Number : 731-984-8406
Fax Number : 731-984-8400
Provider Business Practice Location Address
First Line : 2075 PLEASANT PLAINS EXT RD
Second Line :
City : JACKSON
State : TN
Zip : 38305-6087
Country : US
Telephone Number : 636-248-6288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 03/05/2026

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Directions to “ AUBREY TUCKER ” Practice Location

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