Female

Teresa D. Tucker NP

Gerontology Nurse Practitioner in Savannah, TN(View on Map)

Full Name

Teresa D Tucker NP

NPI Number

1780866830

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/30/2007

Specialties

(Taxonomies)

Code

363LG0600X
363L00000X

Primary Taxonomy

Yes
No

Licenses

State

Tennessee
Tennessee

License Number

13057
APN0000013057

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 655
765 FLORENCE RD

City

Savannah
Savannah

State

TN
TN

Postal Code

38372-0655
38372-3451

Country

US
US

Telephone Number

(731) 925-2300
(731) 925-2300

Identifiers

Identifier

613360505
APN0000013057
3341539

Identifier State

Unknown
TN
TN

Identifier Issuer

DOL FECA
STATE LICENSE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/13/2022

Provider Address