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1457958910
COURTNEY TUCKER
PASCAGOULA, MS
NPI
1457958910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: MS 904215)
Enumeration Date
2020-10-07
Last Update Date
2020-10-07
Business Address
COURTNEY TUCKER NP
2809 DENNY AVE
PASCAGOULA, MS 39581-5301
Phone number: 228-809-5000
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Mailing Address
COURTNEY TUCKER NP
11526 OLD HIGHWAY 43
AXIS, AL 36505-4305
Phone number: 251-591-7471
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