person
Mrs. Lisa Yolanda Moore Tucker, FNP
Family Nurse Practitioner in Columbia, South Carolina
NPI 1679093462

Lisa Yolanda Moore Tucker is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Lisa Yolanda Moore Tucker practices in Columbia, SC and has the professional credentials of FNP. The NPI Number for Lisa Yolanda Moore Tucker is 1679093462 and holds a License No. 90318 (South Carolina).

The current practice location address for Lisa Yolanda Moore Tucker is 111 Doctor Cir, Columbia, SC and can be reached out via phone at 800-491-0909. You can also correspond with Lisa Yolanda Moore Tucker through the mailing address at 111 DOCTOR CIR, COLUMBIA, SC - 29203-6502 (mailing address contact number: 800-491-0909).

Location: 111 Doctor Cir, Columbia, SC, 29203-6502
person
Provider Profile Details
NPI Number
1679093462
Provider Name
Lisa Yolanda Moore Tucker
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
111 Doctor Cir, Columbia, SC, 29203-6502
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
06/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Doctor Cir
City
State
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
111 Doctor Cir
City
State
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
License No.
24917 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
90318 (South Carolina)
Definition
Definition to come...
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