Individual provider · Type 1 NPI
Kenneth Wayne Tucker, RN
Community Health Registered Nurse · Ruston, LA
NPI number
1114280997
Active
Practice location
405 E Georgia Ave
Ruston, LA 71270-3926
Fax (318) 251-4181
Mailing address
802 Marion Hwy
Farmerville, LA 71241-9215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | RN106423 (LA) |
Community Health Registered Nurse: Definition to come...
2 other providers at this address
Other community health registered nurse providers in Ruston
About NPI 1114280997
Kenneth Wayne Tucker, RN's National Provider Identifier is 1114280997, issued on Jun 18, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Ruston, LA. The record was last updated on Jun 18, 2012.