| NPI | 1285282962 |
|---|---|
| Former Name | JENNIFER MARIE TUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11003889) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003889) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003889) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-10-11 |