Individual provider · Type 1 NPI

Shavon Tucker

Nurse's Aide · Milwaukee, WI

NPI number 1356167316 Active

Practice location

3314 W Oriole Dr
Milwaukee, WI 53209-4101

Call (414) 210-4110 Map

Fax (414) 446-5836

Mailing address

4025 W Kiley Ave
Milwaukee, WI 53209-2238

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X315877 (WI)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1356167316

Shavon Tucker's National Provider Identifier is 1356167316, issued on Nov 25, 2024. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Milwaukee, WI. The record was last updated on May 28, 2025.