Individual provider · Type 1 NPI
Jordan Ryan Tucker, FNP
Family Nurse Practitioner · Laurinburg, NC
NPI number
1083309462
Active
Practice location
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice locations
- 410 S Jones St, Ste D, Pembroke, NC 28372-7261 · (910) 277-9164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5017840 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083309462
Jordan Ryan Tucker, FNP's National Provider Identifier is 1083309462, issued on Apr 10, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Laurinburg, NC. The record was last updated on Jul 15, 2024.