| NPI | 1376541367 |
|---|---|
| Former Name | STEPHANIE A TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2528082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP-2528082) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2026-02-08 |