Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 024603 | TN |
NPI | 1003895640 |
---|---|
Provider Name | Dr. Vernita Ann Tucker |
First Address | Nashville, TN 37208 |
Second Address | Nashville, TN 37208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3076238 | (05) | TN |
F09066 | (02) | TN |