Nicolle Renee Tucker, LPN
NPI #1700558707 in Johnson City, New York
Provider Information
- NPI Number
- 1700558707
- Entity Type
- Individual
- Name
- Nicolle Renee Tucker, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 29, 2021
- Last Updated
- Sep 29, 2021
Practice Location
- Address
- 40 FREDERICK ST
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-1804
- Phone
- (607) 239-0434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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