Individual provider · Type 1 NPI
Jerry Dewayne Tucker
Medical Technologist · Camp Lejeune, NC
NPI number
1407998404
Active
Practice location
US Coast Guard Special Missions Training Center, BB-11 Courthouse Bay
Camp Lejeune, NC 28542
Fax (910) 450-7040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Technologist Primary | 246QM0706X | None listed |
Medical Technologist: Definition to come...
About NPI 1407998404
Jerry Dewayne Tucker's National Provider Identifier is 1407998404, issued on Feb 13, 2007. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Camp Lejeune, NC. The record was last updated on Jul 8, 2007.