KAITLYN TUCKER

SPRINGFIELD, IL
NPI1164068805
Former NameKAITLYN STAUFFER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.020167)
Enumeration Date2019-11-18
Last Update Date2023-10-06
Business Address
KAITLYN TUCKER CNP
800 N 1ST ST
SPRINGFIELD, IL 62702-3778
Phone number: 217-528-7541
Mailing Address
KAITLYN TUCKER CNP
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541
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