Individual provider · Type 1 NPI

Tiffany Marie Tucker

Pediatric Nurse Practitioner · Lakeland, FL

NPI number 1104638915 Active

Practice location

601 S Florida Ave Ste 6
Lakeland, FL 33801-5237

Mailing address

47 5th St NW
Winter Haven, FL 33881-4672

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN11035710 (FL)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11035710 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104638915

Tiffany Marie Tucker's National Provider Identifier is 1104638915, issued on Jan 21, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lakeland, FL. The record was last updated on Mar 20, 2025.