Individual provider · Type 1 NPI

Kalista Shea Tucker

Physician Assistant · Boone, NC

NPI number 1295672491 Active

Practice location

232 Boone Heights Dr # A
Boone, NC 28607-4926

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-16758 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295672491

Kalista Shea Tucker's National Provider Identifier is 1295672491, issued on May 4, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boone, NC. The record was last updated on Jul 24, 2026.