Individual provider · Type 1 NPI

Shakema Tucker

Licensed Practical Nurse · South Prince George, VA

NPI number 1083361992 Active

Practice location

10543 S Crater Rd
South Prince George, VA 23805-7333

Call (800) 805-6989 Map

Mailing address

9183 County Dr
Disputanta, VA 23842-6202

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002080829 (VA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1083361992

Shakema Tucker's National Provider Identifier is 1083361992, issued on Mar 10, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in South Prince George, VA. The record was last updated on Mar 10, 2022.