Individual provider · Type 1 NPI
Dejanea Tucker
Nurse Practitioner · Upper Marlboro, MD
Practice location
660 Harry S Truman Dr
Upper Marlboro, MD 20774-2069
Mailing address
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Other practice locations
- 1416 9th St NW, Washington, DC 20001-3344 · (202) 907-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1046777 (DC) |
| Nurse Practitioner Primary | 363L00000X | R219532 (MD) |
| Family Nurse Practitioner | 363LF0000X | NP1046777 (DC) |
| Family Nurse Practitioner | 363LF0000X | R219532 (MD) |
| Registered Nurse | 163W00000X | R219532 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1235834698
Dejanea Tucker's National Provider Identifier is 1235834698, issued on Apr 4, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Sep 17, 2025.