person
Mary W Tucker, APRN,BC
Pediatric Nurse Practitioner in Maryville, Tennessee
NPI 1386775641

Mary W Tucker is a Pediatric Nurse Practitioner based in Maryville, TN and is specialized in Pediatrics. Mary W Tucker practices in Maryville, TN and has the professional credentials of APRN,BC. The NPI Number for Mary W Tucker is 1386775641 and holds a License No. APN0000010443 (Tennessee).

The current practice location address for Mary W Tucker is 116 Chantilly Lane, Maryville, TN and can be reached out via phone at 865-273-1616 and via fax at 865-273-1645. You can also correspond with Mary W Tucker through the mailing address at PO BOX 5629, MARYVILLE, TN - 37802-5629 (mailing address contact number: 865-273-1752).

Location: 116 Chantilly Lane, Maryville, TN, 37802-5629
person
Provider Profile Details
NPI Number
1386775641
Provider Name
Mary W Tucker
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
116 Chantilly Lane, Maryville, TN, 37802-5629
Phone Number
865-273-1616
Fax Number
865-273-1645
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APN0000010443 01 TN LICENSE
3341063 05 TN
institution
Provider Business Practice Location Address Details
Address
116 Chantilly Lane
City
State
Zip
37803
Phone Number
865-273-1616
Fax Number
865-273-1645
person
Provider Business Mailing Address Details
Address
Po Box 5629
City
State
Zip
37802-5629
Phone Number
865-273-1752
Fax Number
865-273-1755
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN0000010443 (Tennessee)
Definition
Definition to come...
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