NPI 1407400658

Ashley Nicole Tucker

Practitioner Driver Jonesboro, AR

Practice location

Address: 806 Glendale St, Jonesboro, AR 72401-4455
Phone: (870) 932-3600
Mailing address: 1900 Stillwater Dr, Jonesboro, AR 72404-9119

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1407400658
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2019
Record last updated: 26 Jul 2019

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.