Individual provider · Type 1 NPI
Mary W. Tucker, APRN, BC
Pediatric Nurse Practitioner · Maryville, TN
NPI number
1386775641
Active
Practice location
116 Chantilly Lane
Maryville, TN 37803
Fax (865) 273-1645
Mailing address
PO Box 5629
Maryville, TN 37802-5629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APN0000010443 (TN) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Maryville
About NPI 1386775641
Mary W. Tucker, APRN, BC's National Provider Identifier is 1386775641, issued on Mar 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Maryville, TN. The record was last updated on Feb 19, 2008.