Individual provider · Type 1 NPI

Maa Jebbeh Tucker

Licensed Practical Nurse · Cherryland, CA

NPI number 1245156009 Active

Practice location

494 Blossom Way
Cherryland, CA 94541-1948

Call (510) 582-7676 Map

Fax (510) 582-9080

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X248054 (CA)

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 1245156009

Maa Jebbeh Tucker's National Provider Identifier is 1245156009, issued on Jun 26, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cherryland, CA. The record was last updated on Jun 26, 2026.