Kristen E. Tucker PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Kristen Elaine Tucker PA-C
NPI Number
1457785263
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/28/2013
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9104439
Contact
Information
Purpose
Mailing
Location
Address
1500 CONCORD TER
1 SHIRCLIFF WAY
City
Sunrise
Jacksonville
State
FL
FL
Postal Code
33323-2815
32204-4748
Country
US
US
Telephone Number
(800) 243-3839
(904) 308-7497
Identifiers
Identifier
003140585A
010132800
Identifier State
GA
FL
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/10/2014