NPI 1275940025
Jessica Tucker, LPN
Practice location
- Address
- 2208 W Roosevelt Blvd, Monroe, NC 28110-2762
- Phone
- (704) 289-9869
- Mailing address
- 515 Clanton Rd, Charlotte, NC 28217-1309
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1275940025
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Jul 2014
- Record last updated
- 14 Jul 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.