Individual provider · Type 1 NPI
Shannon L. Tucker, AGPCNP
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1386048023
Active
Practice location
3009 N Ballas Rd, Ste 264C
St. Louis, MO 63131-2322
Fax (314) 996-7945
Mailing address
670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2006019382 (MO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2014036832 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in St. Louis
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- Rene L. Hofstetter, NPAdult Health Nurse Practitioner St. Louis, MO NPI 1023276151
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- Erin Holloway, ANPAdult Health Nurse Practitioner St. Louis, MO NPI 1033369798
- Rachel Porter, NPAdult Health Nurse Practitioner St. Louis, MO NPI 1033578125
About NPI 1386048023
Shannon L. Tucker, AGPCNP's National Provider Identifier is 1386048023, issued on Oct 9, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Mar 22, 2021.