DEADRA RENEA TUCKER

LYNCHBURG, TN
NPI1174828180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  15536)
Enumeration Date2011-01-22
Last Update Date2024-07-16
Business Address
DEADRA RENEA TUCKER APN
491 MAJORS BLVD
LYNCHBURG, TN 37352-8344
Phone number: 931-759-4727
Mailing Address
DEADRA RENEA TUCKER APN
5135 WINCHESTER HWY
LYNCHBURG, TN 37352-8458
Phone number: 931-759-4949