Individual provider · Type 1 NPI

Lisa Yolanda Moore Tucker, FNP

Family Nurse Practitioner · Columbia, SC

NPI number 1679093462 Active

Practice location

111 Doctor Cir
Columbia, SC 29203-6502

Specialties and licenses

Taxonomy	Code	License
Diabetes Educator Registered Nurse	163WD0400X	90318 (SC)
Family Nurse Practitioner Primary	363LF0000X	24917 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1679093462

Lisa Yolanda Moore Tucker, FNP's National Provider Identifier is 1679093462, issued on Jun 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Nov 9, 2022.