Individual provider · Type 1 NPI

Courtney Tucker, NP

Pediatric Nurse Practitioner · Pascagoula, MS

NPI number 1457958910 Active

Practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

11526 Old Highway 43
Axis, AL 36505-4305

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X904215 (MS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457958910

Courtney Tucker, NP's National Provider Identifier is 1457958910, issued on Oct 7, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pascagoula, MS. The record was last updated on Oct 7, 2020.