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Candy Tucker
Gerontology Registered Nurse in Anna, Illinois
NPI 1396408159

Candy Tucker is a Gerontology Registered Nurse based in Anna, IL and is specialized in Gerontology. Candy Tucker practices in Anna, IL. The NPI Number for Candy Tucker is 1396408159 and holds a License No. 041417537 (Illinois).

The current practice location address for Candy Tucker is 315 Brady Mill Rd, Anna, IL and can be reached out via phone at 618-833-6343.

Location: 315 Brady Mill Rd, Anna, IL, 62906-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396408159
Provider Name
Candy Tucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 Brady Mill Rd, Anna, IL, 62906-2306
Phone Number
618-833-6343
Fax Number
Provider Enumeration Date
10/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 Brady Mill Rd
City
Anna
State
Illinois
Zip
62906-2306
Phone Number
618-833-6343
Fax Number
person
Provider Business Mailing Address Details
Address
315 Brady Mill Rd
City
Anna
State
Illinois
Zip
62906-2306
Phone Number
618-833-6343
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gerontology
Taxonomy
163WG0600X
License No.
041417537 (Illinois)
Definition
Definition to come...
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