Individual provider · Type 1 NPI

Sandra L. Tucker, APRN BC

Pediatric Nurse Practitioner · Columbia, SC

NPI number 1861430613 Active

Practice location

2000 Hampton St
Columbia, SC 29204-1002

Fax (803) 576-2999

Mailing address

1409 Tudor Ln
Camden, SC 29020-3350

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X282 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1861430613

Sandra L. Tucker, APRN BC's National Provider Identifier is 1861430613, issued on Jun 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, SC. The record was last updated on Jul 13, 2026.