Individual provider · Type 1 NPI
Carrie S. Tucker, NURSE PRACTITIONER
Family Nurse Practitioner · Springfield, IL
NPI number
1194039289
Active
Practice location
520 N 4th St
Springfield, IL 62702-5238
Fax (217) 747-1351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209008262 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194039289
Carrie S. Tucker, NURSE PRACTITIONER's National Provider Identifier is 1194039289, issued on Jul 30, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Jan 11, 2016.