NPI 1407998404

Jerry Dewayne Tucker

Practitioner Medical Technologist Camp Lejeune, NC

Practice location

Address: US Coast Guard Special Missions Training Center Bb-11 Courthouse Bay, Camp Lejeune, NC 28542
Phone: (910) 376-0773
Fax: (910) 450-7040

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in North Carolina →

Registry record

NPI: 1407998404
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2007
Record last updated: 8 Jul 2007

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.